Mrs Susan Nestler Wohlgemuth, LICENSED PROFESSIONA | |
654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | |
(908) 994-7265 | |
(908) 994-7342 |
Full Name | Mrs Susan Nestler Wohlgemuth |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 654 East Jersey St., Elizabeth, 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 |
---|---|---|---|
1558683987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00360200 (New Jersey) | Primary |
Entity Name | Awaken Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063900967 PECOS PAC ID: 1254688484 Enrollment ID: O20180719001649 |
Mailing Address | Practice Location Address |
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Mrs Susan Nestler Wohlgemuth, LICENSED PROFESSIONA 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 Ph: (908) 994-7265 | Mrs Susan Nestler Wohlgemuth, LICENSED PROFESSIONA 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 Ph: (908) 994-7265 |
Mr. Rocco Briscese, MALPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7233 | |
Mrs. Lisa Rose Mcdermott, LSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7552 Fax: 908-994-7554 | |
Alquan Spencer, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Woodruff Ln, Elizabeth, NJ 07201 Phone: 908-352-0850 | |
Dr. Brandon Terrance Johnson, PHD, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 Evans St, Elizabeth, NJ 07201 Phone: 908-334-3889 | |
Leslie G Rojas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Morris Ave Fl 2, Elizabeth, NJ 07208 Phone: 973-652-2753 Fax: 908-248-0760 | |
Asia Depas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 W Grand St, Elizabeth, NJ 07202 Phone: 908-354-3040 | |
Ms. Maria C Figueroa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St, Elizabeth, NJ 07206 Phone: 908-994-7335 Fax: 908-994-7054 |