Mrs Brenda Killeen Bly, LCSW,LCADC is a
Social Worker - Clinical based in Hampton, New Jersey. Mrs Brenda Killeen Bly is licensed to practice in New Jersey (license number 44SC00437100) and her current practice location is
1 Manor Dr, Hampton, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 537-6815.
NPI number for Mrs Brenda Killeen Bly is 1538371588 and her current mailing address is 387 Terrace Ln, Bedminster, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538371588.
Healthcare Provider's Profile
| Full Name | Mrs Brenda Killeen Bly |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1 Manor Dr, Hampton, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538371588
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Brenda Killeen Bly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538371588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00134400 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC00437100 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brenda Killeen Bly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Brenda Killeen Bly, LCSW,LCADC
387 Terrace Ln,
Bedminster, NJ 07921-1927
Ph: (908) 719-9669 | Mrs Brenda Killeen Bly, LCSW,LCADC
1 Manor Dr,
Hampton, NJ 08827-5409
Ph: (908) 537-6815 |
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