| Senior Care Therapy Llc | |
|
85 Crescent Ave Passaic NJ 07055-2437 | |
| (973) 264-0023 | |
| (973) 264-0022 |
| Full Name | Senior Care Therapy Llc |
|---|---|
| Speciality | Psychologist |
| Location | 85 Crescent Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Jessica Scott (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9732640023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Therapy Llc 2719 Hollywood Blvd Ste 5469 Hollywood FL 33020-4821 Ph: (973) 264-0023 | Senior Care Therapy Llc 85 Crescent Ave Passaic NJ 07055-2437 Ph: (973) 264-0023 |
| NPI Number | 1285898098 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 0547335366 |
|---|---|
| Medicare Enrollment ID | O20080813000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285898098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Virginia M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609952290 PECOS PAC ID: 8123018082 Enrollment ID: I20040513001162 |
| Provider Name | Billie Jo Stuto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679651988 PECOS PAC ID: 5395727234 Enrollment ID: I20040603001013 |
| Provider Name | Laura J Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619029261 PECOS PAC ID: 1254316714 Enrollment ID: I20040621000493 |
| Provider Name | Manuel Iser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992023055 PECOS PAC ID: 7214902303 Enrollment ID: I20040901000287 |
| Provider Name | Gerard B Donohue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205824349 PECOS PAC ID: 8921060476 Enrollment ID: I20041028000032 |
| Provider Name | Kerry A Greaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538284047 PECOS PAC ID: 4880656644 Enrollment ID: I20041103000446 |
| Provider Name | Charles R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528311701 PECOS PAC ID: 9133184955 Enrollment ID: I20041122000319 |
| Provider Name | Sherri C Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083760797 PECOS PAC ID: 3779540596 Enrollment ID: I20041214000249 |
| Provider Name | Kathleen S Galasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003306689 PECOS PAC ID: 7810944394 Enrollment ID: I20050406000915 |
| Provider Name | Maryellen Teti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578624094 PECOS PAC ID: 4789631110 Enrollment ID: I20050407000090 |
| Provider Name | Carol A Conrad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821146937 PECOS PAC ID: 0042257149 Enrollment ID: I20050411000717 |
| Provider Name | Marian R Benedicto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154356673 PECOS PAC ID: 0840237822 Enrollment ID: I20050412000129 |
| Provider Name | Jennifer K. Colonna-scerbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972134682 PECOS PAC ID: 6103863592 Enrollment ID: I20050418000280 |
| Provider Name | Joleen Anne Benedict |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982624904 PECOS PAC ID: 4880632983 Enrollment ID: I20050420000033 |
| Provider Name | Kelly A Eid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053984179 PECOS PAC ID: 5890733943 Enrollment ID: I20050420000374 |
| Provider Name | Angela M Joven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538383856 PECOS PAC ID: 3678511672 Enrollment ID: I20050420000810 |
| Provider Name | Alyson D Hague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083792360 PECOS PAC ID: 2466490941 Enrollment ID: I20050425000771 |
| Provider Name | Dennis John Piermattei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962506477 PECOS PAC ID: 1850330176 Enrollment ID: I20050427000062 |
| Provider Name | Michael J Colis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578640942 PECOS PAC ID: 4284673526 Enrollment ID: I20050427000269 |
| Provider Name | Jaime Epstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710032529 PECOS PAC ID: 7214976414 Enrollment ID: I20050427000834 |
| Provider Name | Cynthia L Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346464476 PECOS PAC ID: 4284673971 Enrollment ID: I20050502001235 |
| Provider Name | Cristine Grapa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689722712 PECOS PAC ID: 4082654488 Enrollment ID: I20050505000058 |
| Provider Name | Annette M Silvestri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205959707 PECOS PAC ID: 1658311097 Enrollment ID: I20050505000360 |
| Provider Name | Mary P Speiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396105870 PECOS PAC ID: 5890735153 Enrollment ID: I20050505000563 |
| Provider Name | Tom L Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275104325 PECOS PAC ID: 9638119787 Enrollment ID: I20050509000023 |
| Provider Name | Jacob T Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245425230 PECOS PAC ID: 1759374291 Enrollment ID: I20050518000070 |
| Provider Name | Barbara Ellen Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366518953 PECOS PAC ID: 3072554039 Enrollment ID: I20050519000652 |
| Provider Name | Michael S Keren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376717827 PECOS PAC ID: 1254373046 Enrollment ID: I20050523000396 |
| Provider Name | Donna S Scherz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386735082 PECOS PAC ID: 2668414418 Enrollment ID: I20050523000894 |
| Provider Name | Edward H Berger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538145446 PECOS PAC ID: 9133161680 Enrollment ID: I20050525000666 |
| Provider Name | Peggy A Prekopa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407923287 PECOS PAC ID: 6103868427 Enrollment ID: I20050526000673 |
| Provider Name | Nancy M Gitin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497845655 PECOS PAC ID: 6204878457 Enrollment ID: I20050526001010 |
| Provider Name | Mark R Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518987692 PECOS PAC ID: 8325081136 Enrollment ID: I20050602000895 |
| Provider Name | George W Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073531075 PECOS PAC ID: 3274579172 Enrollment ID: I20050630000661 |
| Provider Name | Thomas J Plahovinsak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811054778 PECOS PAC ID: 3274579115 Enrollment ID: I20050630001062 |
| Provider Name | Kathleen Malon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285672915 PECOS PAC ID: 3870522022 Enrollment ID: I20050808000711 |
| Provider Name | Mari R Oresic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053377382 PECOS PAC ID: 8628095619 Enrollment ID: I20051028000671 |
| Provider Name | Patricia J Naso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154405439 PECOS PAC ID: 9335127166 Enrollment ID: I20060202000251 |
| Provider Name | Alisa Y Rosenfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326092784 PECOS PAC ID: 7911919261 Enrollment ID: I20060705000004 |
| Provider Name | Richard R Gerardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508953852 PECOS PAC ID: 2365441458 Enrollment ID: I20061219000450 |
| 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 | Althea D David |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356550560 PECOS PAC ID: 6507965217 Enrollment ID: I20070621000136 |
| Provider Name | Katie P Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851588537 PECOS PAC ID: 5799860672 Enrollment ID: I20080318000037 |
| Provider Name | Mark Chapman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760654776 PECOS PAC ID: 3870671340 Enrollment ID: I20080424000008 |
| Provider Name | Turhan D Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679784813 PECOS PAC ID: 9133294374 Enrollment ID: I20080822000009 |
| Provider Name | Nancy F Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881893063 PECOS PAC ID: 3971673260 Enrollment ID: I20080822000079 |
| Provider Name | Debra E Mashberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194871665 PECOS PAC ID: 6507914371 Enrollment ID: I20090505000247 |
| Provider Name | Aimee L Sirois |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649407859 PECOS PAC ID: 3678624558 Enrollment ID: I20090707000027 |
| 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 | Christine A Sukovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710127162 PECOS PAC ID: 5698811602 Enrollment ID: I20091006000105 |
| Provider Name | Jacqueline Mullaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730232950 PECOS PAC ID: 1052436755 Enrollment ID: I20100918000016 |
| Provider Name | Wade W Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225247653 PECOS PAC ID: 9436341807 Enrollment ID: I20101005000220 |
| Provider Name | Sherry L Magaram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912212770 PECOS PAC ID: 2163618380 Enrollment ID: I20101130000140 |
| Provider Name | Tadd L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093032690 PECOS PAC ID: 4183811524 Enrollment ID: I20101210000057 |
| Provider Name | Janet Karanevich-dono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518280858 PECOS PAC ID: 7911194154 Enrollment ID: I20101214000325 |
| Provider Name | Kathleen Castles-fonseca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164443743 PECOS PAC ID: 3779762075 Enrollment ID: I20110119000274 |
| Provider Name | Melissa A Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669599452 PECOS PAC ID: 1850572165 Enrollment ID: I20110221000106 |
| Provider Name | Deirdre M Keegan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124320650 PECOS PAC ID: 5496937195 Enrollment ID: I20110316000374 |
| Provider Name | Loren Johnson Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972729341 PECOS PAC ID: 6305020595 Enrollment ID: I20110413000214 |
| Provider Name | Ari Carden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497047062 PECOS PAC ID: 7517144652 Enrollment ID: I20110527000076 |
| Provider Name | Gail M Poverman-kave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700927225 PECOS PAC ID: 5193903060 Enrollment ID: I20110623000318 |
| Provider Name | Jessica R O Gara Mankowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922303841 PECOS PAC ID: 5698947166 Enrollment ID: I20111005000037 |
| Provider Name | Marissa Koziar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316227036 PECOS PAC ID: 8729250188 Enrollment ID: I20111006000347 |
| Provider Name | Janine M Padula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558641431 PECOS PAC ID: 1951575174 Enrollment ID: I20111123000626 |
| Provider Name | Alan Filippi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215905625 PECOS PAC ID: 2668646704 Enrollment ID: I20111222000133 |
| Provider Name | Sarah C. Hiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124319785 PECOS PAC ID: 8325205586 Enrollment ID: I20120131000676 |
| Provider Name | Heather A Dodds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952528994 PECOS PAC ID: 2961669098 Enrollment ID: I20120201000806 |
| Provider Name | Quenise Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184995284 PECOS PAC ID: 1557529708 Enrollment ID: I20120220001050 |
| Provider Name | Arlene V Anjos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639325335 PECOS PAC ID: 2062671456 Enrollment ID: I20120305000012 |
| Provider Name | Dawn E Cheetham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780910380 PECOS PAC ID: 6103086970 Enrollment ID: I20120402000467 |
| Provider Name | Elyse F Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023377744 PECOS PAC ID: 9436312543 Enrollment ID: I20120529000208 |
| Provider Name | Paul Jacobs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619136173 PECOS PAC ID: 2163687864 Enrollment ID: I20120703000050 |
| Provider Name | Laurie A Schlussel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093011272 PECOS PAC ID: 8426200908 Enrollment ID: I20121207000268 |
| Provider Name | Kristy S Castle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699042895 PECOS PAC ID: 1557513553 Enrollment ID: I20121219000444 |
| Provider Name | Margaret L Baum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437221082 PECOS PAC ID: 6608029491 Enrollment ID: I20130103000025 |
| Provider Name | Michael S Liebenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134497852 PECOS PAC ID: 8123273711 Enrollment ID: I20130305000514 |
| Provider Name | Amy B Grund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992140453 PECOS PAC ID: 5496995045 Enrollment ID: I20130703000101 |
| Provider Name | Therese Cresanti-daknis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932456647 PECOS PAC ID: 1153561634 Enrollment ID: I20130703000576 |
| Provider Name | Liza Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568629962 PECOS PAC ID: 1850535253 Enrollment ID: I20130925000805 |
| Provider Name | Odelind K Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083042782 PECOS PAC ID: 4486883295 Enrollment ID: I20140127000862 |
| Provider Name | Kathleen P Bonnenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417270976 PECOS PAC ID: 6901034743 Enrollment ID: I20140129000138 |
| Provider Name | Eunae C Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457472730 PECOS PAC ID: 3971689191 Enrollment ID: I20140206000024 |
| Provider Name | Marisa Anne Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023107042 PECOS PAC ID: 6204068901 Enrollment ID: I20140411000650 |
| Provider Name | Leonette U Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700203783 PECOS PAC ID: 2163655671 Enrollment ID: I20140508000741 |
| Provider Name | Carly B Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285071134 PECOS PAC ID: 2365669652 Enrollment ID: I20140811000538 |
| Provider Name | Regina M Budesa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336271717 PECOS PAC ID: 1052530441 Enrollment ID: I20140917001544 |
| Provider Name | Elizabeth C Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114297348 PECOS PAC ID: 3274753116 Enrollment ID: I20140929000175 |
| Provider Name | Francis L Guenther |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083022552 PECOS PAC ID: 6002037983 Enrollment ID: I20141017000511 |
| Provider Name | Deborah A. Chiumento |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376829226 PECOS PAC ID: 2466628821 Enrollment ID: I20141020000079 |
| Provider Name | Nicole A Dock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619376852 PECOS PAC ID: 7214158047 Enrollment ID: I20141021000760 |
| Provider Name | Melissa R Marano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376605949 PECOS PAC ID: 5496977803 Enrollment ID: I20141119000076 |
| Provider Name | Judy L Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841491651 PECOS PAC ID: 0244398683 Enrollment ID: I20150203000982 |
| Provider Name | Carmen L Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275967762 PECOS PAC ID: 4789909862 Enrollment ID: I20150212000770 |
| Provider Name | Suzanne Carney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063801611 PECOS PAC ID: 2860711678 Enrollment ID: I20150429001009 |
| Provider Name | Andrew Groves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104013309 PECOS PAC ID: 3577694272 Enrollment ID: I20150514001901 |
| Provider Name | Theresa M Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366767360 PECOS PAC ID: 2163734724 Enrollment ID: I20150710000160 |
| Provider Name | Kristina T Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548503204 PECOS PAC ID: 3577879782 Enrollment ID: I20150902003254 |
| Provider Name | Jaclyn Froman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669696134 PECOS PAC ID: 1153422779 Enrollment ID: I20150914000314 |
| Provider Name | Lance A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952456279 PECOS PAC ID: 6002124922 Enrollment ID: I20150925002214 |
| Provider Name | Jeanne E Palazzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740627827 PECOS PAC ID: 2567772924 Enrollment ID: I20151116000148 |
| Provider Name | Robin Celeste Wiley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235272840 PECOS PAC ID: 2062715642 Enrollment ID: I20160115000298 |
| Provider Name | Alisha Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629434790 PECOS PAC ID: 1951605849 Enrollment ID: I20160215000142 |
| Provider Name | Lori S Lepore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306215538 PECOS PAC ID: 6507161825 Enrollment ID: I20160224002877 |
| Provider Name | Heather G Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285091157 PECOS PAC ID: 7618274671 Enrollment ID: I20160318001562 |
| Provider Name | Donna Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659390425 PECOS PAC ID: 9931192960 Enrollment ID: I20160331000045 |
| Provider Name | Gwen S Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043415599 PECOS PAC ID: 9537451232 Enrollment ID: I20160715000546 |
| Provider Name | Dina Ann Scalero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326447293 PECOS PAC ID: 8224323217 Enrollment ID: I20160830002064 |
| Provider Name | Amanda Romeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114136108 PECOS PAC ID: 3779863386 Enrollment ID: I20161216000558 |
| Provider Name | Tania Ades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306063953 PECOS PAC ID: 7315902582 Enrollment ID: I20161227001600 |
| Provider Name | Camille V Pazienza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376750463 PECOS PAC ID: 7012298128 Enrollment ID: I20170104001125 |
| Provider Name | Liliya Veksler-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508954512 PECOS PAC ID: 7517249741 Enrollment ID: I20170124002154 |
| Provider Name | Adriana Pomales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639424658 PECOS PAC ID: 1951683754 Enrollment ID: I20170130002749 |
| Provider Name | Alison B Steinhauser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437539715 PECOS PAC ID: 9830472570 Enrollment ID: I20170203001031 |
| Provider Name | Sarah R Scimeme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912352287 PECOS PAC ID: 4880977446 Enrollment ID: I20170207000271 |
| Provider Name | Joanna M Salmon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174801963 PECOS PAC ID: 5799954996 Enrollment ID: I20170220001098 |
| Provider Name | Yuna Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457688087 PECOS PAC ID: 0840575288 Enrollment ID: I20170327000664 |
| Provider Name | Elaine Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316339567 PECOS PAC ID: 3476839424 Enrollment ID: I20170406000581 |
| Provider Name | Andrew D Blanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669865184 PECOS PAC ID: 9931486834 Enrollment ID: I20170502001378 |
| Provider Name | Vincent Basile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477953883 PECOS PAC ID: 9931421716 Enrollment ID: I20170503000736 |
| Provider Name | Cornelia E Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083151724 PECOS PAC ID: 1850668716 Enrollment ID: I20170524001099 |
| Provider Name | Rea Allarey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033644778 PECOS PAC ID: 6103196621 Enrollment ID: I20170717001339 |
| Provider Name | Jesse Glassman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871965392 PECOS PAC ID: 6002187325 Enrollment ID: I20170804002269 |
| Provider Name | Cynthia Senkle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316187685 PECOS PAC ID: 4981977758 Enrollment ID: I20170830002839 |
| Provider Name | Michael Becht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770887283 PECOS PAC ID: 6901170372 Enrollment ID: I20170922003246 |
| Provider Name | Sean M Hennessey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518235175 PECOS PAC ID: 1052686359 Enrollment ID: I20171012003048 |
| Provider Name | Tierra J Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295251767 PECOS PAC ID: 9931475142 Enrollment ID: I20171016001917 |
| Provider Name | Sandi L Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588060982 PECOS PAC ID: 3375866817 Enrollment ID: I20171205002695 |
| Provider Name | Barbara L Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912306507 PECOS PAC ID: 4385903061 Enrollment ID: I20180126000407 |
| Provider Name | Jennifer L Malec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477874808 PECOS PAC ID: 8729348396 Enrollment ID: I20180131001453 |
| Provider Name | Amy Sutter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386809523 PECOS PAC ID: 0941563852 Enrollment ID: I20180405002668 |
| Provider Name | Dione Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912044595 PECOS PAC ID: 6800029661 Enrollment ID: I20180424002860 |
| Provider Name | Michael J Kahn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932696879 PECOS PAC ID: 4587928197 Enrollment ID: I20180508000818 |
| Provider Name | Vanessa Sovyrda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306342241 PECOS PAC ID: 6204190465 Enrollment ID: I20180516000932 |
| Provider Name | Jasmine M Teague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336560135 PECOS PAC ID: 4486919479 Enrollment ID: I20180522001292 |
| Provider Name | Kevin Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679062640 PECOS PAC ID: 9133474752 Enrollment ID: I20180621001616 |
| Provider Name | Lorin Mckane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578898722 PECOS PAC ID: 5597073890 Enrollment ID: I20180627000732 |
| Provider Name | Sarah Tronco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215440276 PECOS PAC ID: 4486900628 Enrollment ID: I20180702001359 |
| Provider Name | Laura Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841692613 PECOS PAC ID: 1052668589 Enrollment ID: I20180716001169 |
| Provider Name | Jacklyn S Scales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376020057 PECOS PAC ID: 2062761653 Enrollment ID: I20180815000257 |
| Provider Name | Tina M Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831546662 PECOS PAC ID: 8921358458 Enrollment ID: I20180905000235 |
| Provider Name | Jennifer Kehoe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235619313 PECOS PAC ID: 1355691692 Enrollment ID: I20180906001469 |
| Provider Name | Lashonda Green |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477906956 PECOS PAC ID: 4486905254 Enrollment ID: I20180919000108 |
| Provider Name | Jayne Licata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588991988 PECOS PAC ID: 8022360007 Enrollment ID: I20181003001591 |
| Provider Name | Charles Engelhart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093923724 PECOS PAC ID: 7012269822 Enrollment ID: I20181005001015 |
| Provider Name | Sondra Dublinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497118475 PECOS PAC ID: 6608128962 Enrollment ID: I20181015002129 |
| Provider Name | Karen Locker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457533671 PECOS PAC ID: 4183977077 Enrollment ID: I20181023000773 |
| Provider Name | Renee M Smallwood-thigpen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275910440 PECOS PAC ID: 5698029841 Enrollment ID: I20181107001373 |
| Provider Name | Tanee M Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215403894 PECOS PAC ID: 8729323308 Enrollment ID: I20181231001790 |
| Provider Name | Mary V Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710065016 PECOS PAC ID: 5890035133 Enrollment ID: I20190322000903 |
| Provider Name | Samantha Suarino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548770217 PECOS PAC ID: 1759622806 Enrollment ID: I20190418000235 |
| Provider Name | Richard Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275092504 PECOS PAC ID: 5698017523 Enrollment ID: I20190425000973 |
| Provider Name | Darci L Shinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346787199 PECOS PAC ID: 1456694512 Enrollment ID: I20190514000978 |
| Provider Name | Jackie Kerwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932500683 PECOS PAC ID: 5496098998 Enrollment ID: I20190524002197 |
| Provider Name | Marianne Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235109299 PECOS PAC ID: 5395088744 Enrollment ID: I20190528001781 |
| Provider Name | Pamela Alice Livecchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861957318 PECOS PAC ID: 0244563310 Enrollment ID: I20190604001776 |
| Provider Name | Diane L D'agostino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265095913 PECOS PAC ID: 6406189117 Enrollment ID: I20190612002102 |
| Provider Name | Margo Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780249854 PECOS PAC ID: 8426381914 Enrollment ID: I20190617000603 |
| Provider Name | Yaakov Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003055161 PECOS PAC ID: 3678614575 Enrollment ID: I20190703001288 |
| Provider Name | Susan De Los Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356630313 PECOS PAC ID: 2769717495 Enrollment ID: I20190717001568 |
| Provider Name | Daniel Kenneth Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073747507 PECOS PAC ID: 7315260544 Enrollment ID: I20190724003833 |
| Provider Name | Lesli L Overstreet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689728982 PECOS PAC ID: 6406820372 Enrollment ID: I20190726000154 |
| 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 | Johanna R Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710116553 PECOS PAC ID: 6204166283 Enrollment ID: I20190918002634 |
| Provider Name | Christine E Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245896059 PECOS PAC ID: 4284964396 Enrollment ID: I20191002001876 |
| Provider Name | Madinah Brown-day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629476692 PECOS PAC ID: 6204167638 Enrollment ID: I20191015003594 |
| Provider Name | Joann M Sackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902448376 PECOS PAC ID: 9032541503 Enrollment ID: I20191121001909 |
| Provider Name | Tara Fries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902441256 PECOS PAC ID: 5496189755 Enrollment ID: I20191220000216 |
| Provider Name | Roshnee Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134509979 PECOS PAC ID: 4789941675 Enrollment ID: I20191226000048 |
| Provider Name | Donald P Cassidy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770511347 PECOS PAC ID: 4486088507 Enrollment ID: I20191226001252 |
| Provider Name | Schaune Gamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295055713 PECOS PAC ID: 9133554181 Enrollment ID: I20200121001602 |
| Provider Name | Alicia Ann Caputo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528283025 PECOS PAC ID: 7315372059 Enrollment ID: I20200127001668 |
| Provider Name | Alicia Anne Klapper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316062839 PECOS PAC ID: 1254767825 Enrollment ID: I20200130002505 |
| Provider Name | Judith L Messenger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336789726 PECOS PAC ID: 3779919766 Enrollment ID: I20200211002119 |
| Provider Name | Janice Claire Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619285129 PECOS PAC ID: 4284061037 Enrollment ID: I20200218000009 |
| Provider Name | Sherralee Alicia Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053825885 PECOS PAC ID: 6406283092 Enrollment ID: I20200220000629 |
| Provider Name | Jennifer R. Moss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093244113 PECOS PAC ID: 9931479953 Enrollment ID: I20200319000342 |
| Provider Name | Christine S. Cocchia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699149005 PECOS PAC ID: 7517395551 Enrollment ID: I20200325001385 |
| Provider Name | Matthew Pordes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720229909 PECOS PAC ID: 3577716323 Enrollment ID: I20200326003858 |
| Provider Name | Lauren Beth Kriegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801387899 PECOS PAC ID: 0840621785 Enrollment ID: I20200511000594 |
| Provider Name | Heather Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225594591 PECOS PAC ID: 4082045414 Enrollment ID: I20200519000259 |
| Provider Name | Laura E Depko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154752582 PECOS PAC ID: 3375965056 Enrollment ID: I20200625002135 |
| Provider Name | Blake Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962020040 PECOS PAC ID: 1456775105 Enrollment ID: I20200728001439 |
| Provider Name | Kimberly C Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356716641 PECOS PAC ID: 8921423476 Enrollment ID: I20200731000848 |
| Provider Name | Cheryl Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699729871 PECOS PAC ID: 3476539354 Enrollment ID: I20200915001560 |
| Provider Name | Audra Yacka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427136704 PECOS PAC ID: 1850719972 Enrollment ID: I20200922000468 |
| Provider Name | Molly T Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053430827 PECOS PAC ID: 1153740725 Enrollment ID: I20200930003311 |
| Provider Name | Megan K. Alonso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679198766 PECOS PAC ID: 9032539259 Enrollment ID: I20201008003081 |
| Provider Name | Aubrey B Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265970727 PECOS PAC ID: 5890105159 Enrollment ID: I20201028001153 |
| Provider Name | Rachel Barbati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538767017 PECOS PAC ID: 8628488830 Enrollment ID: I20201029000299 |
| Provider Name | Steven W Rego |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376867259 PECOS PAC ID: 4688981947 Enrollment ID: I20201130002140 |
| Provider Name | Stacey Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841894383 PECOS PAC ID: 6507277282 Enrollment ID: I20201202000317 |
| Provider Name | Tierrah Sultana Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013373182 PECOS PAC ID: 6204248776 Enrollment ID: I20201208001150 |
| Provider Name | Alena Nicole Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598158727 PECOS PAC ID: 1456764950 Enrollment ID: I20201230000063 |
| Provider Name | Scott David Herman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205487204 PECOS PAC ID: 2567794381 Enrollment ID: I20210108001763 |
| Provider Name | Kelly Anne Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316378573 PECOS PAC ID: 4880008226 Enrollment ID: I20210127000412 |
| Provider Name | Valerie Marie Bethke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164814265 PECOS PAC ID: 2466867262 Enrollment ID: I20210208002652 |
| Provider Name | Laura Currie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619569209 PECOS PAC ID: 4082029574 Enrollment ID: I20210216000074 |
| Provider Name | Esperanza F Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154645844 PECOS PAC ID: 5799814588 Enrollment ID: I20210223000018 |
| 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 | Gregory Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386250801 PECOS PAC ID: 3274940168 Enrollment ID: I20210319001069 |
| Provider Name | Haley C Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588240758 PECOS PAC ID: 5698763837 Enrollment ID: I20210325001159 |
| Provider Name | Valerie Laverne Yorker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427570100 PECOS PAC ID: 8426465014 Enrollment ID: I20210326001212 |
| 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 | Eliana Redlich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437674116 PECOS PAC ID: 6800204546 Enrollment ID: I20210420000292 |
| Provider Name | Karen Jane Kirby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497392054 PECOS PAC ID: 2769891852 Enrollment ID: I20210430001087 |
| Provider Name | Claire Geraldine Valli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750504049 PECOS PAC ID: 1557387750 Enrollment ID: I20210503001615 |
| Provider Name | Gilberto Pagan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114021607 PECOS PAC ID: 1951710961 Enrollment ID: I20210504000994 |
| Provider Name | Catherine Elizabeth Nakonetschny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750962718 PECOS PAC ID: 6507275468 Enrollment ID: I20210505000254 |
| Provider Name | Carter Cloyd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073702536 PECOS PAC ID: 3870819337 Enrollment ID: I20210506000296 |
| Provider Name | Susan Frambes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538742275 PECOS PAC ID: 4688073703 Enrollment ID: I20210521002468 |
| Provider Name | Stacy Lynn Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679147706 PECOS PAC ID: 5890194864 Enrollment ID: I20210524001908 |
| Provider Name | Jessica L Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023575404 PECOS PAC ID: 0840699690 Enrollment ID: I20210527000235 |
| Provider Name | Jeffrey Thoelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508444977 PECOS PAC ID: 2769881317 Enrollment ID: I20210602000050 |
| Provider Name | Lisa Tordo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104491679 PECOS PAC ID: 3971902404 Enrollment ID: I20210602003298 |
| Provider Name | Crystal Dawn Mathews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891361648 PECOS PAC ID: 5890195259 Enrollment ID: I20210608000006 |
| Provider Name | Jeffrey S Hugues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306016761 PECOS PAC ID: 1658771159 Enrollment ID: I20210621000175 |
| Provider Name | Nellie Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730554593 PECOS PAC ID: 9335540699 Enrollment ID: I20210624002273 |
| Provider Name | Carey Milano Kloske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497329585 PECOS PAC ID: 3678974508 Enrollment ID: I20210629001649 |
| Provider Name | Rachael Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790136794 PECOS PAC ID: 7618378449 Enrollment ID: I20210630001125 |
| Provider Name | Allison Difilippo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831347582 PECOS PAC ID: 4284036831 Enrollment ID: I20210706001797 |
| Provider Name | Elyse Joy Fritzsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578877189 PECOS PAC ID: 9234531781 Enrollment ID: I20210707001468 |
| Provider Name | Carolyn Segal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053980441 PECOS PAC ID: 0042613606 Enrollment ID: I20210721000037 |
| Provider Name | Layla Stires |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164094983 PECOS PAC ID: 1951704469 Enrollment ID: I20210721002767 |
| Provider Name | Sarah Catherine Eibach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487828927 PECOS PAC ID: 4284037300 Enrollment ID: I20210728000147 |
| Provider Name | Madison Carragher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942879424 PECOS PAC ID: 6204239197 Enrollment ID: I20210729003207 |
| Provider Name | Anthony Joseph Spano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104497833 PECOS PAC ID: 5193129914 Enrollment ID: I20210802000849 |
| Provider Name | Lisa Faul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821602087 PECOS PAC ID: 7810308665 Enrollment ID: I20210821000057 |
| Provider Name | Marcelle Santiago-serrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366931172 PECOS PAC ID: 2062817240 Enrollment ID: I20210826000995 |
| Provider Name | Lauriann O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871266536 PECOS PAC ID: 8628474038 Enrollment ID: I20210910001060 |
| Provider Name | Charis Lease-trevathan Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184059008 PECOS PAC ID: 1658778501 Enrollment ID: I20210921000781 |
| Provider Name | Christina Santaspirt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891144408 PECOS PAC ID: 1951709138 Enrollment ID: I20211004000766 |
| Provider Name | Edward Charles Caslin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750643102 PECOS PAC ID: 8628476702 Enrollment ID: I20211004001075 |
| Provider Name | Lisa Ann Lussier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053073981 PECOS PAC ID: 4284022559 Enrollment ID: I20211020000235 |
| Provider Name | Amoreena Lepore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295498954 PECOS PAC ID: 8325436868 Enrollment ID: I20211102002069 |
| Provider Name | Tadayah Pulliam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760145007 PECOS PAC ID: 2961890447 Enrollment ID: I20211103000088 |
| Provider Name | Cristine Knight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164069126 PECOS PAC ID: 6608264106 Enrollment ID: I20211103000893 |
| Provider Name | Jacqueline Gambardella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427453349 PECOS PAC ID: 1052700432 Enrollment ID: I20211105002490 |
| Provider Name | Ivy J Horan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629609649 PECOS PAC ID: 1153711585 Enrollment ID: I20211129002178 |
| Provider Name | Kyle Nicholas Miceli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689268625 PECOS PAC ID: 5092106658 Enrollment ID: I20211216000014 |
| Provider Name | Nancy A Shupack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275710428 PECOS PAC ID: 0941370142 Enrollment ID: I20220104001435 |
| Provider Name | Gail Marie Spinnato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528466752 PECOS PAC ID: 4284026576 Enrollment ID: I20220118002399 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740941400 PECOS PAC ID: 1153713474 Enrollment ID: I20220119001261 |
| Provider Name | Jessica Breen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700937471 PECOS PAC ID: 3870985898 Enrollment ID: I20220124001948 |
| Provider Name | Elizabeth Ann Bena-schaul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780822825 PECOS PAC ID: 4385037613 Enrollment ID: I20220210000055 |
| Provider Name | Rhett Knuth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518467240 PECOS PAC ID: 8325431513 Enrollment ID: I20220211000176 |
| Provider Name | Noa Glick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407134398 PECOS PAC ID: 9436322831 Enrollment ID: I20220218000313 |
| Provider Name | Julianna Calleo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578217147 PECOS PAC ID: 4587058383 Enrollment ID: I20220221001487 |
| Provider Name | Sara Crisona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295990505 PECOS PAC ID: 0143450791 Enrollment ID: I20220309001412 |
| Provider Name | Julia F Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285116749 PECOS PAC ID: 5890180186 Enrollment ID: I20220323003059 |
| Provider Name | Rosanne Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033546478 PECOS PAC ID: 6305231614 Enrollment ID: I20220324000500 |
| Provider Name | Christine Donnelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700092483 PECOS PAC ID: 3476949827 Enrollment ID: I20220412000028 |
| Provider Name | Valeria Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679190961 PECOS PAC ID: 6901284124 Enrollment ID: I20220531002214 |
| Provider Name | Naseem Obaydou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306416615 PECOS PAC ID: 9032515101 Enrollment ID: I20220601000922 |
| Provider Name | Nancy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225561699 PECOS PAC ID: 0941688493 Enrollment ID: I20220613000276 |
| Provider Name | Amy Rutland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932720331 PECOS PAC ID: 1355729823 Enrollment ID: I20220613001218 |
| Provider Name | Patricia Grace Bagnall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356508519 PECOS PAC ID: 6305225426 Enrollment ID: I20220621001715 |
| Provider Name | Rachel Beth Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396389664 PECOS PAC ID: 5193104149 Enrollment ID: I20220622000022 |
| Provider Name | Shana Fontaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114178209 PECOS PAC ID: 2062891914 Enrollment ID: I20220623000280 |
| Provider Name | Wendy Ann Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659495851 PECOS PAC ID: 7517346240 Enrollment ID: I20220627000310 |
| Provider Name | Ashley Marie Deitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194455956 PECOS PAC ID: 8325428923 Enrollment ID: I20220628003898 |
| Provider Name | Debora Valatkavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215542584 PECOS PAC ID: 9931589538 Enrollment ID: I20220629000128 |
| Provider Name | Naomi Ruth Trachtenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558670893 PECOS PAC ID: 2466832738 Enrollment ID: I20220704000512 |
| Provider Name | Carol Churgin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790350940 PECOS PAC ID: 0547641268 Enrollment ID: I20220713000146 |
| Provider Name | Myrna Elaine Ludwig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427479179 PECOS PAC ID: 6800277054 Enrollment ID: I20220719001488 |
| Provider Name | Jennifer Ocampo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093448227 PECOS PAC ID: 6103207287 Enrollment ID: I20220720003121 |
| Provider Name | David Michael Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295467082 PECOS PAC ID: 2264813047 Enrollment ID: I20220726001158 |
| Provider Name | Alison Hickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265780365 PECOS PAC ID: 7719286087 Enrollment ID: I20220728002303 |
| Provider Name | Therese Colette Latorre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447428859 PECOS PAC ID: 0042692667 Enrollment ID: I20220729000157 |
| Provider Name | David Selengut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306408935 PECOS PAC ID: 7214319326 Enrollment ID: I20220806000077 |
| 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 | Laurence Scappa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538324785 PECOS PAC ID: 1850775800 Enrollment ID: I20220825001235 |
| Provider Name | Ohna Fagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588319164 PECOS PAC ID: 1456735927 Enrollment ID: I20220901000301 |
| Provider Name | Rebecca Causene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013636067 PECOS PAC ID: 3476938366 Enrollment ID: I20220913002329 |
| Provider Name | Patricia L Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275961880 PECOS PAC ID: 1951786433 Enrollment ID: I20220920001294 |
| Provider Name | Maria F Bartholomew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972934735 PECOS PAC ID: 4587040555 Enrollment ID: I20220928000943 |
| Provider Name | Margaret Meehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922739267 PECOS PAC ID: 7214313006 Enrollment ID: I20221003000012 |
| Provider Name | Patrick A Mccabe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518681154 PECOS PAC ID: 4981070240 Enrollment ID: I20221012001687 |
| Provider Name | Elizabeth Mullen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821714031 PECOS PAC ID: 2860869088 Enrollment ID: I20221101001635 |
| Provider Name | Nancy Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972228120 PECOS PAC ID: 5294102307 Enrollment ID: I20221102002182 |
| Provider Name | Kristi A Valentin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275250557 PECOS PAC ID: 7911374582 Enrollment ID: I20221110002617 |
| Provider Name | Barbara Shirley Napoleon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891403424 PECOS PAC ID: 5092183905 Enrollment ID: I20221128001768 |
| Provider Name | Scott Gerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407066269 PECOS PAC ID: 5698143303 Enrollment ID: I20221129003412 |
| Provider Name | Kenisha Bakayoko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093311375 PECOS PAC ID: 1355711854 Enrollment ID: I20221227001714 |
| Provider Name | Gabrialle Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881832707 PECOS PAC ID: 5597028563 Enrollment ID: I20230112000057 |
| Provider Name | Dorota Novitskie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386950376 PECOS PAC ID: 8022489491 Enrollment ID: I20230123000401 |
| Provider Name | Benjamin Chanowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689387060 PECOS PAC ID: 8921479031 Enrollment ID: I20230129000002 |
| Provider Name | Sara Velez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558877266 PECOS PAC ID: 8820469760 Enrollment ID: I20230131003759 |
| Provider Name | Brigid Marie Geary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851004832 PECOS PAC ID: 5890167274 Enrollment ID: I20230213000650 |
| Provider Name | Megan Mcteague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124599345 PECOS PAC ID: 2466793955 Enrollment ID: I20230214002358 |
| Provider Name | Dainee Arias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528785086 PECOS PAC ID: 2668844630 Enrollment ID: I20230221001886 |
| Provider Name | Frances Kopew Ciesielski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225786593 PECOS PAC ID: 4880067677 Enrollment ID: I20230225000035 |
| Provider Name | Megan T Houser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972844751 PECOS PAC ID: 8224401468 Enrollment ID: I20230308002732 |
| Provider Name | Clareanne Lagarde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497427793 PECOS PAC ID: 4981002441 Enrollment ID: I20230316000070 |
| Provider Name | Ryan A. Reddin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487113874 PECOS PAC ID: 6507231404 Enrollment ID: I20230406001505 |
| Provider Name | Joanne T Bistany |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598454928 PECOS PAC ID: 9537525795 Enrollment ID: I20230515002300 |
| Provider Name | Najwa Driggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396223723 PECOS PAC ID: 1557727104 Enrollment ID: I20230524000418 |
| Provider Name | Rachel A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487347225 PECOS PAC ID: 7113384744 Enrollment ID: I20230613001160 |
| Provider Name | Tabitha Duckrey Barrot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649608076 PECOS PAC ID: 4587022173 Enrollment ID: I20230613003611 |
| Provider Name | Christopher M Asmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235816968 PECOS PAC ID: 3870952773 Enrollment ID: I20230711000896 |
| Provider Name | Kelly Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265117758 PECOS PAC ID: 8022478692 Enrollment ID: I20230713002964 |
| Provider Name | Genevieve Chaney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891907317 PECOS PAC ID: 9032579131 Enrollment ID: I20230720004227 |
| Provider Name | Kenneth Mandel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285310250 PECOS PAC ID: 2567823172 Enrollment ID: I20230730000196 |
| Provider Name | Jason E Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295415024 PECOS PAC ID: 0547622391 Enrollment ID: I20230814000281 |
| Provider Name | Jaclyn Centeno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205514221 PECOS PAC ID: 4880057975 Enrollment ID: I20230822002655 |
| Provider Name | Juli Hencoski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912404716 PECOS PAC ID: 8527421213 Enrollment ID: I20230829000674 |
| Provider Name | Lindsay Linebarger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780087759 PECOS PAC ID: 8123481595 Enrollment ID: I20230831004718 |
| Provider Name | Raenelle Bacchus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134615933 PECOS PAC ID: 6901260314 Enrollment ID: I20230918002460 |
| Provider Name | Catherine Fierro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568248268 PECOS PAC ID: 2668826579 Enrollment ID: I20230926004295 |
| Provider Name | Sarah Laranjeiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295519163 PECOS PAC ID: 0547614125 Enrollment ID: I20230930000670 |
| Provider Name | Danielle Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669496444 PECOS PAC ID: 1557716966 Enrollment ID: I20231004002546 |
| Provider Name | Chelsea Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538635560 PECOS PAC ID: 5991150799 Enrollment ID: I20231014000467 |
| Provider Name | Julie Kentrus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699256370 PECOS PAC ID: 8123473659 Enrollment ID: I20231018001731 |
| Provider Name | Megan Gay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447553227 PECOS PAC ID: 1355797036 Enrollment ID: I20231101001807 |
| Provider Name | Charles Jack |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376201772 PECOS PAC ID: 2769830306 Enrollment ID: I20231121001029 |
| Provider Name | Corinne Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033646336 PECOS PAC ID: 9335598861 Enrollment ID: I20231210000032 |
| Provider Name | Harlene Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164567467 PECOS PAC ID: 3971952409 Enrollment ID: I20231210000045 |
| Provider Name | Carl Hertenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841477262 PECOS PAC ID: 8921177023 Enrollment ID: I20231212001246 |
| Provider Name | Daniel J Erbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477693521 PECOS PAC ID: 4284083551 Enrollment ID: I20231212001662 |
| Provider Name | Jada Bradberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841818226 PECOS PAC ID: 0547619850 Enrollment ID: I20231212003263 |
| Provider Name | Sharon Goldie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528400405 PECOS PAC ID: 3274983283 Enrollment ID: I20240110004253 |
| Provider Name | Maria Morales |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902578198 PECOS PAC ID: 3375995103 Enrollment ID: I20240117003656 |
| Provider Name | Bracha Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346010675 PECOS PAC ID: 4183076862 Enrollment ID: I20240118000738 |
| Provider Name | Megan Breeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619542438 PECOS PAC ID: 1557713872 Enrollment ID: I20240122004397 |
| Provider Name | Veronica C Cruz-martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194137570 PECOS PAC ID: 6507200375 Enrollment ID: I20240220003148 |
| Provider Name | Jennifer Dibartolomeo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235876970 PECOS PAC ID: 2163860628 Enrollment ID: I20240402004232 |
| Provider Name | Crystal Beckwith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174117410 PECOS PAC ID: 6800236688 Enrollment ID: I20240426000711 |
| Provider Name | Destinay Erbie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629718747 PECOS PAC ID: 5092155788 Enrollment ID: I20240429001124 |
| Provider Name | Kathrine Evans |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598362469 PECOS PAC ID: 8022458231 Enrollment ID: I20240503002332 |
| Provider Name | Sarah Cp Seung-mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346505310 PECOS PAC ID: 1951741123 Enrollment ID: I20240505000065 |
| Provider Name | Alice Fadiora |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952928012 PECOS PAC ID: 5799126181 Enrollment ID: I20240516001688 |
| Provider Name | Scott Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154873693 PECOS PAC ID: 9032446505 Enrollment ID: I20240529000390 |
| Provider Name | Jennifer Dalcorso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982462610 PECOS PAC ID: 1355883653 Enrollment ID: I20240601000197 |
| Provider Name | Ellen Mcgovern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912362799 PECOS PAC ID: 3274075148 Enrollment ID: I20240606001965 |
| Provider Name | Jonathan Brian Frank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881168599 PECOS PAC ID: 6608318936 Enrollment ID: I20240610000081 |
| Provider Name | Marie-lisa Dunbar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992108989 PECOS PAC ID: 2062898497 Enrollment ID: I20240611003625 |
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Jewish Family Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 Fax: 973-777-9311 | |
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