Mrs Jennifer Frances Elder, LMSW | |
7555 Main Rd, Mattituck, NY 11952-1516 | |
(631) 298-8642 | |
Not Available |
Full Name | Mrs Jennifer Frances Elder |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 7555 Main Rd, Mattituck, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972753846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P65175 (New York) | Primary |
Entity Name | Senior Living Behavioral Health Lcsw Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083150056 PECOS PAC ID: 9931482247 Enrollment ID: O20170213000455 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Frances Elder, LMSW 55 Harbor View Ave, Mattituck, NY 11952-1117 Ph: (631) 298-8642 | Mrs Jennifer Frances Elder, LMSW 7555 Main Rd, Mattituck, NY 11952-1516 Ph: (631) 298-8642 |
Ms. Nicole Schulz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Riley Ave, Mattituck, NY 11952 Phone: 631-921-8572 Fax: 208-668-8975 | |
Holly Lebreux, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7555 Main Rd, Mattituck, NY 11952 Phone: 631-298-8642 | |
Carole Martin, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 935 Farmveu Rd, Mattituck, NY 11952 Phone: 631-848-8971 | |
Stephanie Thode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7555 Main Rd, Mattituck, NY 11952 Phone: 631-298-8642 |