| Embracing Stages | |
|
151 Ocean Ave North Middletown NJ 07748-5656 | |
| (201) 449-4687 | |
| Not Available |
| Full Name | Embracing Stages |
|---|---|
| Speciality | Social Worker |
| Location | 151 Ocean Ave, North Middletown, New Jersey |
| Authorized Official Name and Position | Jennifer Marie Bristol (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2018624015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing Stages 151 Ocean Ave North Middletown NJ 07748-5656 Ph: (201) 862-4015 | Embracing Stages 151 Ocean Ave North Middletown NJ 07748-5656 Ph: (201) 449-4687 |
| NPI Number | 1144867276 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 7113354416 |
|---|---|
| Medicare Enrollment ID | O20200226002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144867276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Bristol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437793114 PECOS PAC ID: 6002243359 Enrollment ID: I20200226000371 |
Ymca Of Greater Monmouth County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Ocean Ave, North Middletown, NJ 07748 Phone: 732-290-9040 Fax: 732-566-0433 | |
Cornerstone Aba Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Kentucky Ave, North Middletown, NJ 07748 Phone: 732-947-7541 |