| Jessica Perrella Lcsw Inc | |
|
717 N Beers St Ste 2b Holmdel NJ 07733-1525 | |
| (908) 456-0123 | |
| (732) 444-9810 |
| Full Name | Jessica Perrella Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 717 N Beers St Ste 2b, Holmdel, New Jersey |
| Authorized Official Name and Position | Jessica Michele Perrella (PRESIDENT) |
| Authorized Official Contact | 9084560123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Perrella Lcsw Inc 562 Forest Rd Fl 2 Scotch Plains NJ 07076-1724 Ph: (732) 439-7260 | Jessica Perrella Lcsw Inc 717 N Beers St Ste 2b Holmdel NJ 07733-1525 Ph: (908) 456-0123 |
| NPI Number | 1487394987 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/30/2023 |
| Medicare PECOS PAC ID | 6709250095 |
|---|---|
| Medicare Enrollment ID | O20230329000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487394987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica M Perrella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811479066 PECOS PAC ID: 7719230705 Enrollment ID: I20201013003672 |
Sheryl A Roach, Phd, Lpc Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 717 N Beers St Ste 2b, Holmdel, NJ 07733 Phone: 732-264-2440 | |
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