| Ellie Mental Health | |
|
26 Madison Ave Ste 6 Morristown NJ 07960-7366 | |
| (973) 490-4284 | |
| (973) 363-9616 |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 26 Madison Ave Ste 6, Morristown, New Jersey |
| Authorized Official Name and Position | David Wong (CFO) |
| Authorized Official Contact | 2124599264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 286 Old Somerset Rd Watchung NJ 07069-6056 Ph: (212) 459-9264 | Ellie Mental Health 26 Madison Ave Ste 6 Morristown NJ 07960-7366 Ph: (973) 490-4284 |
| NPI Number | 1710695044 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 3678929593 |
|---|---|
| Medicare Enrollment ID | O20231030002167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710695044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Steven J Drzewoszewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083869184 PECOS PAC ID: 0840646766 Enrollment ID: I20231030002622 |
| Provider Name | Amanda Hinchman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679287585 PECOS PAC ID: 8426404252 Enrollment ID: I20231030002912 |
| Provider Name | Nichole Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730831314 PECOS PAC ID: 3779930862 Enrollment ID: I20231110002340 |
| Provider Name | Daniella Mironski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730740382 PECOS PAC ID: 1759737679 Enrollment ID: I20240104000210 |
| Provider Name | Leann M Kahrer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821876061 PECOS PAC ID: 9032560008 Enrollment ID: I20240104001178 |
| Provider Name | Thomas Dennis Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528311602 PECOS PAC ID: 9638520596 Enrollment ID: I20240105000081 |
| Provider Name | Amanda Bitterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366038721 PECOS PAC ID: 0749633949 Enrollment ID: I20240124001237 |
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