Shevonne Richardson, | |
85 Crescent Ave, Passaic, NJ 07055-2437 | |
(917) 435-6717 | |
Not Available |
Full Name | Shevonne Richardson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 85 Crescent Ave, Passaic, 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 |
---|---|---|---|
1821717927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 091500 (New York) | Primary |
Entity Name | Urban Family Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164594099 PECOS PAC ID: 7517935059 Enrollment ID: O20040922000333 |
Entity Name | Senior Care Therapy Lcsw Of New York Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932677168 PECOS PAC ID: 7113269010 Enrollment ID: O20190424002784 |
Mailing Address | Practice Location Address |
---|---|
Shevonne Richardson, 912 Ralph Ave, Brooklyn, NY 11236-1015 Ph: (917) 435-6717 | Shevonne Richardson, 85 Crescent Ave, Passaic, NJ 07055-2437 Ph: (917) 435-6717 |
Alexander Fleischer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 412 Brook Ave, Passaic, NJ 07055 Phone: 917-213-0749 | |
Sara Reich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 | |
Ms. Abril Lazaro, LSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 | |
Suzanne L Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 Fax: 973-777-9311 | |
Dr. Simon Y Feuerman, PSYD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Main Ave, Suite B, Passaic, NJ 07055 Phone: 973-249-8111 | |
Rivkah Weldler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 | |
Lisa Ann Lussier, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-264-0022 |