Senior Care Therapy Of Pennsylvania, P.c. | |
815 Chester Pike Prospect Park PA 19076-2322 | |
(973) 264-0023 | |
(973) 264-0022 |
Full Name | Senior Care Therapy Of Pennsylvania, P.c. |
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Speciality | Social Worker |
Location | 815 Chester Pike, Prospect Park, Pennsylvania |
Authorized Official Name and Position | Aaron Rosenfeld (SECRETARY) |
Authorized Official Contact | 9732640023 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Senior Care Therapy Of Pennsylvania, P.c. 2719 Hollywood Blvd Ste 5469 Hollywood FL 33020-4821 Ph: (973) 264-0023 | Senior Care Therapy Of Pennsylvania, P.c. 815 Chester Pike Prospect Park PA 19076-2322 Ph: (973) 264-0023 |
NPI Number | 1003320672 |
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Provider Enumeration Date | 11/19/2017 |
Last Update Date | 01/11/2024 |
Certification Date | 01/11/2024 |
Medicare PECOS PAC ID | 2264791268 |
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Medicare Enrollment ID | O20180122000153 |
Identifier | Type | State | Issuer |
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1003320672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Terrence J Paquette |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568565851 PECOS PAC ID: 1254342876 Enrollment ID: I20060511000054 |
Provider Name | Noa Glick |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407134398 PECOS PAC ID: 9436322831 Enrollment ID: I20111031000646 |
Provider Name | Nikolett K Takacs Kelecic |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245588011 PECOS PAC ID: 9133378458 Enrollment ID: I20121002000401 |
Provider Name | Laura A Mcfetridge |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619211315 PECOS PAC ID: 5597917534 Enrollment ID: I20121220000261 |
Provider Name | Ami Elizabeth Kent |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740621499 PECOS PAC ID: 5698909901 Enrollment ID: I20130927000422 |
Provider Name | Stacey Summers |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023290236 PECOS PAC ID: 7113142761 Enrollment ID: I20140715002025 |
Provider Name | Cynthia J Corbin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043629868 PECOS PAC ID: 6002131695 Enrollment ID: I20150202000586 |
Provider Name | Carter Cloyd |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1073702536 PECOS PAC ID: 3870819337 Enrollment ID: I20150302000089 |
Provider Name | Jennifer Costello-siri |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053557298 PECOS PAC ID: 2365671393 Enrollment ID: I20170125002339 |
Provider Name | Siu-kuen Azor Hui |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336685916 PECOS PAC ID: 7416231519 Enrollment ID: I20170309002393 |
Provider Name | Deborah Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386005536 PECOS PAC ID: 9335417484 Enrollment ID: I20170614002226 |
Provider Name | Alisa Y Rosenfeld |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326092784 PECOS PAC ID: 7911919261 Enrollment ID: I20180122000349 |
Provider Name | Noelle J Stewart |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1366747990 PECOS PAC ID: 9335409911 Enrollment ID: I20180130000297 |
Provider Name | David Pezzeca |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1962830208 PECOS PAC ID: 8921362484 Enrollment ID: I20180509000354 |
Provider Name | Shawn Kelly Pritchett |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619441862 PECOS PAC ID: 0648518662 Enrollment ID: I20190215002020 |
Provider Name | Scott David Herman |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205487204 PECOS PAC ID: 2567794381 Enrollment ID: I20191029000880 |
Provider Name | Suzanne G Sall |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386154698 PECOS PAC ID: 9032543129 Enrollment ID: I20191226000253 |
Provider Name | Kimberly Adams |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760802623 PECOS PAC ID: 8820424781 Enrollment ID: I20200212002370 |
Provider Name | Jessica M Corrar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1124490149 PECOS PAC ID: 8123445780 Enrollment ID: I20200827000554 |
Provider Name | Jennifer Jacotin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699362327 PECOS PAC ID: 1759794100 Enrollment ID: I20210105000090 |
Provider Name | Ajabeyang Amin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881200061 PECOS PAC ID: 7416363171 Enrollment ID: I20210304001876 |
Provider Name | Abby Erica Feinberg |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922413897 PECOS PAC ID: 0042608267 Enrollment ID: I20211020002868 |
Provider Name | Sofia Ermey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1427403070 PECOS PAC ID: 0648660837 Enrollment ID: I20211201003267 |
Provider Name | Marcella Dale Meranda |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659030567 PECOS PAC ID: 8729479241 Enrollment ID: I20211216002612 |
Provider Name | Timothy Alan Judson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225679145 PECOS PAC ID: 6608267646 Enrollment ID: I20211229001350 |
Provider Name | Julie Ann Osanitsch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831372630 PECOS PAC ID: 2961894191 Enrollment ID: I20220121000154 |
Provider Name | Hillary Jourdan Hayen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013513258 PECOS PAC ID: 7012300973 Enrollment ID: I20220217000863 |
Provider Name | Joseph Ofalt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689004947 PECOS PAC ID: 9739508284 Enrollment ID: I20220311001385 |
Provider Name | Jared Mondelli |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659847853 PECOS PAC ID: 7315334844 Enrollment ID: I20220430000071 |
Provider Name | Moriah Irene Harms |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386375004 PECOS PAC ID: 7113307489 Enrollment ID: I20220704000381 |
Provider Name | Brian Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417365354 PECOS PAC ID: 0345616991 Enrollment ID: I20221021002300 |
Provider Name | Lauren Pokras |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205180809 PECOS PAC ID: 3476920455 Enrollment ID: I20221103001857 |
Provider Name | Paul Dickerson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730319823 PECOS PAC ID: 3870900368 Enrollment ID: I20230515002313 |
Provider Name | Genevieve Chaney |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891907317 PECOS PAC ID: 9032579131 Enrollment ID: I20230720004241 |
Provider Name | Valerie R Bolletino |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457956211 PECOS PAC ID: 0941663835 Enrollment ID: I20230824003226 |
Provider Name | Patricia Gills |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861174138 PECOS PAC ID: 4789038258 Enrollment ID: I20231003000244 |
Holcomb Associates Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 16th Ave, Prospect Park, PA 19076 Phone: 610-363-1488 Fax: 610-363-8273 |