Tara Virginia Clifford, MA, LPC, LCADC, CCS | |
250 Washington St Ste A10, Toms River, NJ 08753-7575 | |
(732) 703-7387 | |
Not Available |
Full Name | Tara Virginia Clifford |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 250 Washington St Ste A10, Toms River, 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 |
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1841839412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00333800 (New Jersey) | Secondary |
101YP2500X | Counselor - Professional | 37PC00963400 (New Jersey) | Primary |
Entity Name | Ellie Mental Health At The Jersey Shore Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033997192 PECOS PAC ID: 2961847066 Enrollment ID: O20240228003605 |
Mailing Address | Practice Location Address |
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Tara Virginia Clifford, MA, LPC, LCADC, CCS 713 Champlain St, Toms River, NJ 08757-2533 Ph: (484) 432-8371 | Tara Virginia Clifford, MA, LPC, LCADC, CCS 250 Washington St Ste A10, Toms River, NJ 08753-7575 Ph: (732) 703-7387 |
Dr. Susan V. Clayton, EDD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1116 Maimone St, Toms River, NJ 08753 Phone: 732-341-1595 | |
Erica R Riczu, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 780 Commons Way, Building J, Toms River, NJ 08755 Phone: 732-736-8366 | |
Kaitlyn Tassillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1198 Lakewood Rd, Toms River, NJ 08753 Phone: 732-451-3434 | |
Mrs. Jennifer H. Milne, LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Allen St, Suite 2a, Toms River, NJ 08753 Phone: 732-597-3887 | |
Esther Schwarz, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1749 Hooper Ave, Toms River, NJ 08753 Phone: 732-930-1020 | |
Ally Kaykov, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 170 Riverwood Dr, Toms River, NJ 08755 Phone: 732-300-5664 | |
Samantha Galletta, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Hyers St, Toms River, NJ 08753 Phone: 732-240-4760 |