Mrs Stephanie Fredericka, LCSW | |
19 Downstream Dr, Flanders, NJ 07836-9568 | |
(973) 634-7772 | |
Not Available |
Full Name | Mrs Stephanie Fredericka |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 19 Downstream Dr, Flanders, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972074813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05705900 (New Jersey) | Primary |
Entity Name | Grow Healthcare Group Of New Jersey Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Fredericka, LCSW 19 Downstream Dr, Flanders, NJ 07836-9568 Ph: (973) 634-7772 | Mrs Stephanie Fredericka, LCSW 19 Downstream Dr, Flanders, NJ 07836-9568 Ph: (973) 634-7772 |
Mr. Dante J Baccaro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Overbrook Rd, Flanders, NJ 07836 Phone: 973-479-7824 | |
Jeana Campisi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Deerfield Pl, Flanders, NJ 07836 Phone: 973-670-2624 | |
Ms. Hope A Mcdonald, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Biscay Dr, Flanders, NJ 07836 Phone: 973-945-3858 | |
Jeffrey Thoelen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16 Ledgewood Rd, Flanders, NJ 07836 Phone: 973-229-4976 | |
Mrs. Dina K Miller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Kerry Pl, Flanders, NJ 07836 Phone: 201-874-4544 | |
Katelyn Meier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Gold Mine Road, Flanders, NJ 07836 Phone: 973-202-3091 | |
Sara M Cerillo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 185 Us Highway 206, Flanders, NJ 07836 Phone: 908-752-0925 |