| Red Oak Psychotherapy Llc | |
|
100 Haddontowne Ct Cherry Hill NJ 08034-3602 | |
| (609) 504-2522 | |
| (856) 427-0089 |
| Full Name | Red Oak Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 100 Haddontowne Ct, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Janet A Castellini (MEMBER) |
| Authorized Official Contact | 6095042522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Oak Psychotherapy Llc 376 Fork Bridge Rd Pittsgrove NJ 08318-4527 Ph: (609) 504-2522 | Red Oak Psychotherapy Llc 100 Haddontowne Ct Cherry Hill NJ 08034-3602 Ph: (609) 504-2522 |
| NPI Number | 1760912661 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 3072885722 |
|---|---|
| Medicare Enrollment ID | O20170816000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760912661 | NPI | - | NPPES |
| 12223061 | Other | CAQH | |
| 1982930962 | Other | INDIVIDUAL NPI | |
| 37LC00184100 | Other | NJ | STATE OF NEW JERSEY |
| 9823682 | Other | AETNA | |
| 44SC05428100 | Other | NJ | STATE OF NEW JERSEY |
| CW016387 | Other | PA | COMMONWEALTH OF PENNSYLVANIA |
| 2602881 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05428100 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | CW016387 (Pennsylvania) | Secondary |
| Provider Name | Janet A Castellini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982930962 PECOS PAC ID: 3577748466 Enrollment ID: I20170816001677 |
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