Kristin Anna Caccavale, LPC | |
890 Mountain Ave, New Providence, NJ 07974-1218 | |
(908) 277-8900 | |
(908) 508-8919 |
Full Name | Kristin Anna Caccavale |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 890 Mountain Ave, New Providence, 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 |
---|---|---|---|
1235715921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00715300 (New Jersey) | Primary |
Entity Name | Eleanor Health Professional Nj, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790310738 PECOS PAC ID: 3779904602 Enrollment ID: O20200602001226 |
Entity Name | Counseling Center At Clark Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245637578 PECOS PAC ID: 3971990144 Enrollment ID: O20220419000848 |
Mailing Address | Practice Location Address |
---|---|
Kristin Anna Caccavale, LPC 24 Springfield Ave Apt 18, Cranford, NJ 07016-2157 Ph: (908) 884-5112 | Kristin Anna Caccavale, LPC 890 Mountain Ave, New Providence, NJ 07974-1218 Ph: (908) 277-8900 |
Ms. Margaret S Clarke, LPC Counselor Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8900 Fax: 908-508-8919 | |
Mrs. Rebecca P Coniglio, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Marion Ave, New Providence, NJ 07974 Phone: 973-568-6453 | |
Rachael Ekenezar, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8900 | |
Dr. Kristie Hanley, PSYD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 139 South St Ste 205c, New Providence, NJ 07974 Phone: 973-769-0036 | |
Meghan Kathleen Holler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Chanlon Rd, New Providence, NJ 07974 Phone: 732-566-9266 | |
Grace Hickey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Chanlon Rd, New Providence, NJ 07974 Phone: 973-299-9954 | |
Jasmine Mushington, LPC Counselor Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8900 Fax: 908-508-8919 |