| Exceptional Wellness Counseling, Inc. | |
|
219 Taylors Mills Road Manalapan NJ 07726 | |
| (908) 415-2042 | |
| Not Available |
| Full Name | Exceptional Wellness Counseling, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 219 Taylors Mills Road, Manalapan, New Jersey |
| Authorized Official Name and Position | Lisa Hillman (OWNDER) |
| Authorized Official Contact | 9084152042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Wellness Counseling, Inc. 219 Taylors Mills Road Manalapan NJ 07726 Ph: (908) 415-2042 | Exceptional Wellness Counseling, Inc. 219 Taylors Mills Road Manalapan NJ 07726 Ph: (908) 415-2042 |
| NPI Number | 1639613862 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Medicare PECOS PAC ID | 2668892449 |
|---|---|
| Medicare Enrollment ID | O20201016000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639613862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan M Mohr Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265512479 PECOS PAC ID: 0244287761 Enrollment ID: I20050406000418 |
| Provider Name | Angela M Joven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538383856 PECOS PAC ID: 3678511672 Enrollment ID: I20050420000810 |
| Provider Name | Mary Puschel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366632549 PECOS PAC ID: 3274775606 Enrollment ID: I20130814000119 |
| Provider Name | Megan Rudman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457878720 PECOS PAC ID: 7113292335 Enrollment ID: I20171013000951 |
| Provider Name | Charles Graff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811485014 PECOS PAC ID: 1052731346 Enrollment ID: I20201027001063 |
| Provider Name | Erica Marriaga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861921983 PECOS PAC ID: 6305257874 Enrollment ID: I20201204002200 |
| Provider Name | Christine Seidman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447679162 PECOS PAC ID: 1951706712 Enrollment ID: I20210818000240 |
| Provider Name | Jane M Dustman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497216774 PECOS PAC ID: 7214333780 Enrollment ID: I20210908003153 |
| Provider Name | John Wohlert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164945887 PECOS PAC ID: 9133514144 Enrollment ID: I20220309001889 |
| Provider Name | Stephanie Surget |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447652722 PECOS PAC ID: 0941688535 Enrollment ID: I20220610000765 |
| Provider Name | Amanda Costantino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083326847 PECOS PAC ID: 7810367612 Enrollment ID: I20230111001971 |
| Provider Name | Melissa Caso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144860438 PECOS PAC ID: 0840657334 Enrollment ID: I20230614002595 |
| Provider Name | Joseph Mozino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346851698 PECOS PAC ID: 0749640845 Enrollment ID: I20230721000036 |
| Provider Name | Christina Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396479051 PECOS PAC ID: 1052762036 Enrollment ID: I20240104001483 |
| Provider Name | George Corradino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316067119 PECOS PAC ID: 1456704527 Enrollment ID: I20240125002382 |
| Provider Name | Barbara Mckechnie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962526079 PECOS PAC ID: 0749632750 Enrollment ID: I20240301003311 |
| Provider Name | Ashley Lobbato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972135051 PECOS PAC ID: 4284074584 Enrollment ID: I20240503001534 |
| Provider Name | Bruce Macbeth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912596230 PECOS PAC ID: 7113465519 Enrollment ID: I20240816000668 |
| Provider Name | Amanda Levitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568117786 PECOS PAC ID: 8921549585 Enrollment ID: I20240923002101 |
| Provider Name | Anne Raulerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518614494 PECOS PAC ID: 4688107089 Enrollment ID: I20241023003903 |
| Provider Name | Rebecca Sgro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710597588 PECOS PAC ID: 7618402819 Enrollment ID: I20241125003464 |
| Provider Name | Sean Mangan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194143883 PECOS PAC ID: 1254866213 Enrollment ID: I20241127001988 |
| Provider Name | Nicole Desantis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821622846 PECOS PAC ID: 3072966712 Enrollment ID: I20241212000185 |
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