Ms Marcia Kipp Mackillop, LCSW | |
4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322 | |
(609) 482-3701 | |
(609) 482-3702 |
Full Name | Ms Marcia Kipp Mackillop |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4 Princess Rd Ste 206, Lawrenceville, 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 |
---|---|---|---|
1992044135 | NPI | - | NPPES |
097115 | Other | PA | DDAP |
144400 | Other | PA | DOH-MH |
2000480 | Other | NJ | DMHAS-SUD |
896321004 | Other | NJ | DMHAS-MH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW020324 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC05521400 (New Jersey) | Primary |
Entity Name | In Solidarity Counseling Practice, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902585482 PECOS PAC ID: 4880041789 Enrollment ID: O20231115000752 |
Mailing Address | Practice Location Address |
---|---|
Ms Marcia Kipp Mackillop, LCSW 17 Hawthorne Ave, Ewing, NJ 08638-2823 Ph: (609) 672-6668 | Ms Marcia Kipp Mackillop, LCSW 4 Princess Rd Ste 206, Lawrenceville, NJ 08648-2322 Ph: (609) 482-3701 |
David Albert Kensler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2550 Brunswick Pike, Lawrenceville, NJ 08648 Phone: 609-396-8877 | |
Emily Jalajas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Princess Rd Ste 206, Lawrenceville, NJ 08648 Phone: 609-482-3701 | |
Gregory Smola, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Princess Rd Ste 206, Lawrenceville, NJ 08648 Phone: 609-482-3701 | |
Jennifer L Ditrapani, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22 Gordon Ave, Lawrenceville, NJ 08648 Phone: 609-844-0452 | |
Mr. Joseph Mcbride, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2999 Princeton Pike, Suite 5, Lawrenceville, NJ 08648 Phone: 609-771-6737 Fax: 609-882-9462 | |
Ms. Rosemary Orocchi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3100 Princeton Pike, Suite 4c, Lawrenceville, NJ 08648 Phone: 609-216-2086 Fax: 609-324-3855 | |
Mischelle Kristofor, LCSW,LCADC,CCS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Princess Rd Ste 208, Lawrenceville, NJ 08648 Phone: 561-865-5896 |