| Monmouth Integrative Counseling Services, Llc | |
|
2517 Highway 35, Building D Suite 201 Manasquan NJ 08736 | |
| (732) 231-5170 | |
| (732) 223-3098 |
| Full Name | Monmouth Integrative Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2517 Highway 35, Building D, Manasquan, New Jersey |
| Authorized Official Name and Position | Patricia A. Magnotta (OWNER) |
| Authorized Official Contact | 7328959508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monmouth Integrative Counseling Services, Llc 2517 Highway 35, Building D Suite 201 Manasquan NJ 08736 Ph: (732) 231-5170 | Monmouth Integrative Counseling Services, Llc 2517 Highway 35, Building D Suite 201 Manasquan NJ 08736 Ph: (732) 231-5170 |
| NPI Number | 1265081921 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 11/05/2021 |
| Certification Date | 11/05/2021 |
| Medicare PECOS PAC ID | 3173948122 |
|---|---|
| Medicare Enrollment ID | O20200807000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265081921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Cozzolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356618029 PECOS PAC ID: 1355517822 Enrollment ID: I20120104000736 |
| Provider Name | Regina B Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245576834 PECOS PAC ID: 7214175256 Enrollment ID: I20130603000206 |
| Provider Name | Patricia A Magnotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902343130 PECOS PAC ID: 5597027193 Enrollment ID: I20180320000231 |
| Provider Name | Judy A Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487016663 PECOS PAC ID: 2668843806 Enrollment ID: I20230125002604 |
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