| Grow Healthcare Group Of New Jersey Pc | |
|
221 River St. Fl 9 Hoboken NJ 07030-5990 | |
| (201) 439-8902 | |
| Not Available |
| Full Name | Grow Healthcare Group Of New Jersey Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 221 River St. Fl 9, Hoboken, New Jersey |
| Authorized Official Name and Position | Jake Cooper (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3478511139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Healthcare Group Of New Jersey Pc 221 River St. Fl 9 Hoboken NJ 07030-5990 Ph: (201) 439-8902 | Grow Healthcare Group Of New Jersey Pc 221 River St. Fl 9 Hoboken NJ 07030-5990 Ph: (201) 439-8902 |
| NPI Number | 1841949328 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 5193194835 |
|---|---|
| Medicare Enrollment ID | O20221220000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841949328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Melisa Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205093747 PECOS PAC ID: 5597757534 Enrollment ID: I20040331000945 |
| Provider Name | Marlin Wolf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629152236 PECOS PAC ID: 2264471424 Enrollment ID: I20050427000495 |
| Provider Name | Roxane Pakit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952483760 PECOS PAC ID: 2961442215 Enrollment ID: I20050506000008 |
| Provider Name | Jennifer Marchese Tumminello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063444701 PECOS PAC ID: 7810933538 Enrollment ID: I20050706000164 |
| Provider Name | Yuri Mazur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255380879 PECOS PAC ID: 3870580483 Enrollment ID: I20050913000070 |
| Provider Name | Elise Nerenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659311173 PECOS PAC ID: 2769403138 Enrollment ID: I20051221000156 |
| Provider Name | Berta Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639389943 PECOS PAC ID: 3072522945 Enrollment ID: I20060420000613 |
| Provider Name | Morgan D Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932270899 PECOS PAC ID: 8729181102 Enrollment ID: I20070306000481 |
| Provider Name | Gretchen Raring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194878371 PECOS PAC ID: 0941301121 Enrollment ID: I20070719000059 |
| Provider Name | Jacqueline C Oshiver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427101476 PECOS PAC ID: 2769569292 Enrollment ID: I20080409000076 |
| Provider Name | Joanne T. Arnold-velcheck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700036225 PECOS PAC ID: 0648316729 Enrollment ID: I20091002000278 |
| Provider Name | Ellyn A Geller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326364662 PECOS PAC ID: 9133312762 Enrollment ID: I20101015000065 |
| Provider Name | Miriam Britt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053633636 PECOS PAC ID: 2567651839 Enrollment ID: I20110118001184 |
| Provider Name | Sonya Knuettel-ripley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326195827 PECOS PAC ID: 1355528894 Enrollment ID: I20110609000015 |
| Provider Name | James Monaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033363247 PECOS PAC ID: 1759551591 Enrollment ID: I20110902000381 |
| Provider Name | Laura Lee Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003073701 PECOS PAC ID: 2567633506 Enrollment ID: I20110922000416 |
| Provider Name | Brenda L Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528275997 PECOS PAC ID: 1355513433 Enrollment ID: I20111014000104 |
| Provider Name | David A Kensler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023396637 PECOS PAC ID: 4486827359 Enrollment ID: I20111109000750 |
| Provider Name | Felix A Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902073216 PECOS PAC ID: 2163672684 Enrollment ID: I20121018000473 |
| Provider Name | Michelle L Harney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013266725 PECOS PAC ID: 6800046194 Enrollment ID: I20121023000110 |
| Provider Name | Therese Cresanti-daknis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932456647 PECOS PAC ID: 1153561634 Enrollment ID: I20130703000576 |
| Provider Name | Marian Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538332929 PECOS PAC ID: 5496073181 Enrollment ID: I20150408002705 |
| Provider Name | Rosemarie N Patrizio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073978912 PECOS PAC ID: 0547564767 Enrollment ID: I20160209002200 |
| Provider Name | Courtney T Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013167857 PECOS PAC ID: 1658662820 Enrollment ID: I20160617001119 |
| Provider Name | Judith Noone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679985642 PECOS PAC ID: 7618258351 Enrollment ID: I20170111002201 |
| Provider Name | Lynne Chantel Holley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134677248 PECOS PAC ID: 8921370180 Enrollment ID: I20170823000532 |
| Provider Name | Carl T Grimm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740332311 PECOS PAC ID: 0143587725 Enrollment ID: I20171207000187 |
| Provider Name | Ned Hanover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497974406 PECOS PAC ID: 7416218771 Enrollment ID: I20180228003104 |
| Provider Name | Katelyn Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487141412 PECOS PAC ID: 0648534206 Enrollment ID: I20180507001147 |
| Provider Name | Megan Habbershon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992183701 PECOS PAC ID: 6709141021 Enrollment ID: I20180607000334 |
| Provider Name | Karen D Huttemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902382435 PECOS PAC ID: 6709134166 Enrollment ID: I20180801003752 |
| Provider Name | Daria Malinchak Mcphee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124041512 PECOS PAC ID: 7911233036 Enrollment ID: I20190729000164 |
| Provider Name | Breanne Burnley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982965117 PECOS PAC ID: 0345576013 Enrollment ID: I20190802000046 |
| Provider Name | Kelly Marchione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306023338 PECOS PAC ID: 9436489143 Enrollment ID: I20190924000066 |
| Provider Name | Amir Pooyan Faghfoory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245558105 PECOS PAC ID: 3476708587 Enrollment ID: I20191031001241 |
| Provider Name | Schaune Gamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295055713 PECOS PAC ID: 9133554181 Enrollment ID: I20200121001602 |
| Provider Name | Nicole Purwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184081325 PECOS PAC ID: 5597192195 Enrollment ID: I20200220001069 |
| Provider Name | Cherokee Cabell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013415074 PECOS PAC ID: 4486081825 Enrollment ID: I20200225002420 |
| Provider Name | Dawn Nash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043760226 PECOS PAC ID: 0143659631 Enrollment ID: I20200403002969 |
| Provider Name | Basheer Ahmad Shabazz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235439860 PECOS PAC ID: 9638500440 Enrollment ID: I20200512000817 |
| Provider Name | Vera Solovieva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952479800 PECOS PAC ID: 1557438348 Enrollment ID: I20200519000398 |
| Provider Name | Cassandra Rushin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871986778 PECOS PAC ID: 6800227257 Enrollment ID: I20200519001199 |
| Provider Name | Steven Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245664341 PECOS PAC ID: 0648692939 Enrollment ID: I20200615001098 |
| Provider Name | Sarah C Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497927164 PECOS PAC ID: 4688907504 Enrollment ID: I20201105002086 |
| Provider Name | Francesca Viola-hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265918577 PECOS PAC ID: 5294146494 Enrollment ID: I20201119000198 |
| Provider Name | Luke Hayslip |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184278681 PECOS PAC ID: 9133533169 Enrollment ID: I20210202001906 |
| Provider Name | Ami Elizabeth Kent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740621499 PECOS PAC ID: 5698909901 Enrollment ID: I20210223001627 |
| Provider Name | Stephanie Vassallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033554720 PECOS PAC ID: 8022259753 Enrollment ID: I20210317000253 |
| Provider Name | Amy Lynn Torpey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346625423 PECOS PAC ID: 6002224706 Enrollment ID: I20210419001173 |
| Provider Name | Tiffany Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699165373 PECOS PAC ID: 5890103311 Enrollment ID: I20210422001728 |
| Provider Name | Carolynn Feldblum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063825909 PECOS PAC ID: 1557762036 Enrollment ID: I20210622003674 |
| Provider Name | Rene Youssef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285396747 PECOS PAC ID: 1850789512 Enrollment ID: I20211028002975 |
| Provider Name | Fides Isidro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427276013 PECOS PAC ID: 8325430937 Enrollment ID: I20220111001820 |
| Provider Name | Kristen L Salvi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417423799 PECOS PAC ID: 2668869405 Enrollment ID: I20220427000054 |
| Provider Name | Jordan Brown Sander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760039564 PECOS PAC ID: 3577941004 Enrollment ID: I20220611000433 |
| Provider Name | Nerisa Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700532272 PECOS PAC ID: 8820476435 Enrollment ID: I20220627000290 |
| Provider Name | Noelle K. Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518235324 PECOS PAC ID: 1052794625 Enrollment ID: I20220815000749 |
| Provider Name | Tracy Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710635206 PECOS PAC ID: 0042694531 Enrollment ID: I20220901001340 |
| Provider Name | Judith Yehudis Wolofsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740565696 PECOS PAC ID: 4789803891 Enrollment ID: I20220929003623 |
| Provider Name | Mary Ann Furphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336453018 PECOS PAC ID: 3173990603 Enrollment ID: I20221112000046 |
| Provider Name | Thomas Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467004622 PECOS PAC ID: 0345654463 Enrollment ID: I20221220000132 |
| Provider Name | Cristina M Primerano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982061735 PECOS PAC ID: 2264852482 Enrollment ID: I20230202000128 |
| Provider Name | Lauren E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740438480 PECOS PAC ID: 8729450341 Enrollment ID: I20230208001547 |
| Provider Name | Jessica Chicas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710454681 PECOS PAC ID: 8426420589 Enrollment ID: I20230306000364 |
| Provider Name | Latisha Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487079067 PECOS PAC ID: 4880068253 Enrollment ID: I20230327000872 |
| Provider Name | Jessie Kozmoski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356081533 PECOS PAC ID: 1456726710 Enrollment ID: I20230419000737 |
| Provider Name | Mary Pajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134617343 PECOS PAC ID: 6709241060 Enrollment ID: I20230420002992 |
| Provider Name | Linda Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407132012 PECOS PAC ID: 1153786827 Enrollment ID: I20230502002084 |
| Provider Name | Marjorie Elizabeth Cobin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942959820 PECOS PAC ID: 4981060860 Enrollment ID: I20230518002659 |
| Provider Name | Kelly Kostelich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437694957 PECOS PAC ID: 3375888167 Enrollment ID: I20230522002382 |
| Provider Name | Lorraine Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215274063 PECOS PAC ID: 7416313259 Enrollment ID: I20230523000011 |
| Provider Name | Lashelle White Corley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396444311 PECOS PAC ID: 1052777679 Enrollment ID: I20230523002799 |
| Provider Name | Najwa Driggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396223723 PECOS PAC ID: 1557727104 Enrollment ID: I20230524000418 |
| Provider Name | Angela Fucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164994679 PECOS PAC ID: 9234501511 Enrollment ID: I20230524001734 |
| Provider Name | Aisha Resha Mitchell Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336497791 PECOS PAC ID: 7315219615 Enrollment ID: I20230524001756 |
| Provider Name | Kim Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851383889 PECOS PAC ID: 7012335193 Enrollment ID: I20230530000070 |
| Provider Name | Yelitza Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124749916 PECOS PAC ID: 1850757345 Enrollment ID: I20230609001100 |
| Provider Name | Stacy Triumph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952846610 PECOS PAC ID: 7214394881 Enrollment ID: I20230613002359 |
| Provider Name | Sheriffa Gallwey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114065190 PECOS PAC ID: 5698957652 Enrollment ID: I20230621002338 |
| Provider Name | Carole Tshela Showell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346853264 PECOS PAC ID: 2163881129 Enrollment ID: I20230708000425 |
| Provider Name | Cierra Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790271518 PECOS PAC ID: 3173940160 Enrollment ID: I20230712001634 |
| Provider Name | Victoria Waring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295959419 PECOS PAC ID: 2264845940 Enrollment ID: I20230712004721 |
| Provider Name | Michelle Shehadeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598218745 PECOS PAC ID: 1254798853 Enrollment ID: I20230724001077 |
| Provider Name | Marrium Guirguis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639840119 PECOS PAC ID: 9032570742 Enrollment ID: I20230727003032 |
| Provider Name | Lindsey Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053667576 PECOS PAC ID: 2163883729 Enrollment ID: I20230728001069 |
| Provider Name | Wynda Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568941839 PECOS PAC ID: 9032575527 Enrollment ID: I20230731004084 |
| Provider Name | Brittany Kowalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245825785 PECOS PAC ID: 7810305026 Enrollment ID: I20230804001077 |
| Provider Name | Richard G Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063747764 PECOS PAC ID: 3779954102 Enrollment ID: I20230808003853 |
| Provider Name | Clover Beauduy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366955239 PECOS PAC ID: 2062873144 Enrollment ID: I20230809000036 |
| Provider Name | Suzette Sclafani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760724512 PECOS PAC ID: 7315309259 Enrollment ID: I20230809003222 |
| Provider Name | Crystal Dawn Roskell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588181267 PECOS PAC ID: 0345602926 Enrollment ID: I20230814002708 |
| Provider Name | Maya David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861184814 PECOS PAC ID: 8527421452 Enrollment ID: I20230825000625 |
| Provider Name | Jennifer Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316087695 PECOS PAC ID: 4385007046 Enrollment ID: I20230828003679 |
| Provider Name | Staci Ann Dimattia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124718861 PECOS PAC ID: 7810350592 Enrollment ID: I20230829000157 |
| Provider Name | Felicia C Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760674634 PECOS PAC ID: 8527329127 Enrollment ID: I20230908001818 |
| Provider Name | Cynthia Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104475060 PECOS PAC ID: 9032573928 Enrollment ID: I20230911003570 |
| Provider Name | Mary Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346754215 PECOS PAC ID: 8426483991 Enrollment ID: I20230912002296 |
| Provider Name | Patricia Susan D'angelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639804073 PECOS PAC ID: 0547508228 Enrollment ID: I20230912003575 |
| Provider Name | Stephanie Loretta Willoughby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023721321 PECOS PAC ID: 4587028063 Enrollment ID: I20230918000377 |
| Provider Name | Jose Antonio Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265706311 PECOS PAC ID: 4183088545 Enrollment ID: I20230919000290 |
| Provider Name | Donna Graf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083966550 PECOS PAC ID: 9638523954 Enrollment ID: I20230920002495 |
| Provider Name | Minerva Viton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215958111 PECOS PAC ID: 4789684168 Enrollment ID: I20230921001642 |
| Provider Name | Gyngear Emith Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518615186 PECOS PAC ID: 4789038639 Enrollment ID: I20230926001803 |
| Provider Name | Agness Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396114310 PECOS PAC ID: 7618321340 Enrollment ID: I20230928001001 |
| Provider Name | Elana Horowitz Isser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336883305 PECOS PAC ID: 9739576000 Enrollment ID: I20230929003616 |
| Provider Name | Fquira Johannes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982942017 PECOS PAC ID: 4183024474 Enrollment ID: I20230930000207 |
| Provider Name | Judith Creecy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609000298 PECOS PAC ID: 0143379826 Enrollment ID: I20231002000327 |
| Provider Name | Monica Schiffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659572113 PECOS PAC ID: 3173987302 Enrollment ID: I20231003003059 |
| Provider Name | Falinda C Dieujuste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629851266 PECOS PAC ID: 9335594779 Enrollment ID: I20231005000051 |
| Provider Name | Knou Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053900639 PECOS PAC ID: 6204241953 Enrollment ID: I20231005000233 |
| Provider Name | Cassandra Courtney Jeanne Soluri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124661905 PECOS PAC ID: 4486009867 Enrollment ID: I20231005001696 |
| Provider Name | Debbie Chisolm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518120351 PECOS PAC ID: 7315392347 Enrollment ID: I20231011003506 |
| Provider Name | Elizabeth Chery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841646858 PECOS PAC ID: 4981937307 Enrollment ID: I20231020001994 |
| Provider Name | Larisa Correa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760811376 PECOS PAC ID: 5496098469 Enrollment ID: I20231024000322 |
| Provider Name | Amy Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467055434 PECOS PAC ID: 9830545573 Enrollment ID: I20231031003871 |
| Provider Name | Qualiyah Arrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962945436 PECOS PAC ID: 9537515572 Enrollment ID: I20231102000601 |
| Provider Name | Daniel Sosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932490216 PECOS PAC ID: 4082990452 Enrollment ID: I20231103002813 |
| Provider Name | Rebekah Lynne Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386333193 PECOS PAC ID: 7113374794 Enrollment ID: I20231104000074 |
| Provider Name | Ayodele Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598922866 PECOS PAC ID: 2365517471 Enrollment ID: I20231108004056 |
| Provider Name | Alexander Fleischer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003233289 PECOS PAC ID: 9537516695 Enrollment ID: I20231110000614 |
| Provider Name | Chaya Aspir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295013118 PECOS PAC ID: 2567819881 Enrollment ID: I20231111000473 |
| Provider Name | Jessica Passero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174133409 PECOS PAC ID: 9133576572 Enrollment ID: I20231113000010 |
| Provider Name | Laura Jasphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972894830 PECOS PAC ID: 6204284888 Enrollment ID: I20231120002216 |
| Provider Name | Nichola Lydon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518591825 PECOS PAC ID: 8325497183 Enrollment ID: I20231206000584 |
| Provider Name | Michael J Cotayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265676282 PECOS PAC ID: 4688859994 Enrollment ID: I20231211003436 |
| Provider Name | Alexis Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225405541 PECOS PAC ID: 2062862923 Enrollment ID: I20231219002521 |
| Provider Name | Laura Miller Shaffner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396985016 PECOS PAC ID: 5092165100 Enrollment ID: I20240102000659 |
| Provider Name | Jane Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396133831 PECOS PAC ID: 2668700386 Enrollment ID: I20240102001655 |
| Provider Name | Yenda Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225778178 PECOS PAC ID: 9830549906 Enrollment ID: I20240102002476 |
| Provider Name | Baktha Kumar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376242297 PECOS PAC ID: 0143671859 Enrollment ID: I20240108000434 |
| Provider Name | Fitzgerald Ajoku |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104583418 PECOS PAC ID: 0244689982 Enrollment ID: I20240125001654 |
| Provider Name | David Juncos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376836445 PECOS PAC ID: 7113349127 Enrollment ID: I20240130001776 |
| Provider Name | Jenna Tarrant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902432891 PECOS PAC ID: 8224471099 Enrollment ID: I20240208002483 |
| Provider Name | Maureen Rena Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417691833 PECOS PAC ID: 9739523192 Enrollment ID: I20240214001168 |
| Provider Name | Sean Ferri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588440069 PECOS PAC ID: 7113370230 Enrollment ID: I20240214002970 |
| Provider Name | Hannah Sparks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134599020 PECOS PAC ID: 5395142426 Enrollment ID: I20240215000712 |
| Provider Name | Daniel Richard Schwahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518669126 PECOS PAC ID: 6305280223 Enrollment ID: I20240229001330 |
| Provider Name | Iona Redmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578820957 PECOS PAC ID: 8022454438 Enrollment ID: I20240307002917 |
| Provider Name | Brenda Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417043571 PECOS PAC ID: 9931380664 Enrollment ID: I20240308003187 |
| Provider Name | Elana Dorfman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306318761 PECOS PAC ID: 6305277112 Enrollment ID: I20240311000745 |
| Provider Name | Nakeeshia Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316308414 PECOS PAC ID: 5698157337 Enrollment ID: I20240311003752 |
| Provider Name | Stacy Csw St Louis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851690408 PECOS PAC ID: 8325409097 Enrollment ID: I20240312000035 |
| Provider Name | Lyn Rairdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922517317 PECOS PAC ID: 9436416138 Enrollment ID: I20240312000076 |
| Provider Name | Mabel Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104380849 PECOS PAC ID: 0244648392 Enrollment ID: I20240313002079 |
| Provider Name | Cynthia Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487140984 PECOS PAC ID: 5294180634 Enrollment ID: I20240319003526 |
| Provider Name | Nickolas Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558645341 PECOS PAC ID: 4688901002 Enrollment ID: I20240319004075 |
| Provider Name | Brianne Giallanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649655499 PECOS PAC ID: 1850702150 Enrollment ID: I20240320000921 |
| Provider Name | Kimberly Mcgrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083911945 PECOS PAC ID: 3779897707 Enrollment ID: I20240326000051 |
| Provider Name | Anah Ukpere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114695913 PECOS PAC ID: 8820468622 Enrollment ID: I20240326000962 |
| Provider Name | Laura Damico |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699019109 PECOS PAC ID: 3173767175 Enrollment ID: I20240402001860 |
| Provider Name | Monica Zack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649841933 PECOS PAC ID: 2264870500 Enrollment ID: I20240405000041 |
| Provider Name | Michael Ham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154405389 PECOS PAC ID: 0446235949 Enrollment ID: I20240409003252 |
| Provider Name | Christine Bonavolante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235292210 PECOS PAC ID: 3678514197 Enrollment ID: I20240425003633 |
| Provider Name | Darlene Nicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952069551 PECOS PAC ID: 6507210176 Enrollment ID: I20240425004220 |
| Provider Name | Jason Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194085274 PECOS PAC ID: 0749615797 Enrollment ID: I20240426003376 |
| Provider Name | Lydia Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508380270 PECOS PAC ID: 9335502111 Enrollment ID: I20240426003522 |
| Provider Name | Sabrina Smith-hargroves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447497276 PECOS PAC ID: 7517307119 Enrollment ID: I20240430002102 |
| Provider Name | Luisa Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811665334 PECOS PAC ID: 8628416989 Enrollment ID: I20240501004110 |
| Provider Name | Tracy Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467202804 PECOS PAC ID: 7113367525 Enrollment ID: I20240502001870 |
| Provider Name | Sherrille Mckethan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245016302 PECOS PAC ID: 5890136865 Enrollment ID: I20240508004071 |
| Provider Name | Jocelyn Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578804944 PECOS PAC ID: 7911333257 Enrollment ID: I20240513000007 |
| Provider Name | Gina Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811693864 PECOS PAC ID: 2769855956 Enrollment ID: I20240513001757 |
| Provider Name | Kristi Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801548821 PECOS PAC ID: 5496149908 Enrollment ID: I20240514000218 |
| Provider Name | Christina Kulp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427535764 PECOS PAC ID: 6103168729 Enrollment ID: I20240514004169 |
| Provider Name | Judith Weinberg Rosenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558631291 PECOS PAC ID: 3173964616 Enrollment ID: I20240514004294 |
| Provider Name | Kayla Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437605953 PECOS PAC ID: 4981045200 Enrollment ID: I20240516002930 |
| Provider Name | Natalie Velazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053168286 PECOS PAC ID: 1850733908 Enrollment ID: I20240521003951 |
| Provider Name | Kyri Menaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255106142 PECOS PAC ID: 3779925748 Enrollment ID: I20240522000630 |
| Provider Name | Irma Raquel Fiallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811676471 PECOS PAC ID: 0244672830 Enrollment ID: I20240529000193 |
| Provider Name | Karen Owen Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073844890 PECOS PAC ID: 8921440454 Enrollment ID: I20240529001889 |
| Provider Name | Susan Csw Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023024148 PECOS PAC ID: 3577748193 Enrollment ID: I20240531000030 |
| Provider Name | Sofia Makarenko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215795315 PECOS PAC ID: 5395287650 Enrollment ID: I20240603001726 |
| Provider Name | Taima Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215353222 PECOS PAC ID: 3678015799 Enrollment ID: I20240604004220 |
Gordon & Behar Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield St, Suite 118, Hoboken, NJ 07030 Phone: 201-963-9300 | |
Counseling And Wellness Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 7th St., Ll5, Hoboken, NJ 07030 Phone: 866-369-1090 Fax: 866-369-2140 | |
Hoboken University Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 201-418-1000 Fax: 201-418-1053 | |
Only For Light Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Harrison St Ste 209b, Hoboken, NJ 07030 Phone: 551-998-9046 | |
Park Avenue Psychotherapy Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 River St Ste 9, Hoboken, NJ 07030 Phone: 917-334-6069 | |
Paula Diaz Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield St, Suite # 121, Hoboken, NJ 07030 Phone: 201-420-7646 Fax: 201-420-7647 | |
Family Behavioral Health Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 201-925-2699 |