Timothy Alan Judson, | |
920 E Baltimore Pike, Kennett Square, PA 19348-1800 | |
(610) 388-9225 | |
Not Available |
Full Name | Timothy Alan Judson |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 920 E Baltimore Pike, Kennett Square, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225679145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW022200 (Pennsylvania) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | SW135513 (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Senior Care Therapy Of Pennsylvania Pc | 2264791268 | 13 |
Entity Name | Senior Care Therapy Of Pennsylvania Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003320672 PECOS PAC ID: 2264791268 Enrollment ID: O20180122000153 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
Mailing Address | Practice Location Address |
---|---|
Timothy Alan Judson, 369 W Broad St Apt 5, Souderton, PA 18964-1856 Ph: (484) 636-9345 | Timothy Alan Judson, 920 E Baltimore Pike, Kennett Square, PA 19348-1800 Ph: (610) 388-9225 |
Andrea C Devries, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 W. Street Road, Suite 302, Kennett Square, PA 19348 Phone: 610-444-1841 | |
Ms. Sandra Brown, M.S.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E Thomas Ct, Kennett Square, PA 19348 Phone: 610-388-6116 | |
Ms. Margaret Lee Bagnal, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 102 E State St, Suite 2, Kennett Square, PA 19348 Phone: 610-444-9494 Fax: 610-444-9655 | |
Mrs. Margaret Reynolds Dorgan, M.S.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 W Street Rd, Suite 302, Kennett Square, PA 19348 Phone: 610-925-1501 Fax: 610-925-1581 | |
Natalie Marie Santos, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 E Baltimore Pike # 200, Kennett Square, PA 19348 Phone: 610-388-7400 | |
Jeffrey Donald Siemsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Marshall Bridge Rd, Kennett Square, PA 19348 Phone: 302-521-3019 Fax: 610-444-0226 |