| Ship To Shore Counseling, Pc | |
|
422 Morris Ave Ste 7 Long Branch NJ 07740-6574 | |
| (908) 675-1769 | |
| Not Available |
| Full Name | Ship To Shore Counseling, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 422 Morris Ave Ste 7, Long Branch, New Jersey |
| Authorized Official Name and Position | Christine Possemato (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9086751769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ship To Shore Counseling, Pc 422 Morris Ave Ste 7 Long Branch NJ 07740-6574 Ph: () - | Ship To Shore Counseling, Pc 422 Morris Ave Ste 7 Long Branch NJ 07740-6574 Ph: (908) 675-1769 |
| NPI Number | 1568977759 |
|---|---|
| Provider Enumeration Date | 12/10/2017 |
| Last Update Date | 12/10/2017 |
| Medicare PECOS PAC ID | 5092142133 |
|---|---|
| Medicare Enrollment ID | O20200302000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568977759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Christine R Possemato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053680413 PECOS PAC ID: 6800059569 Enrollment ID: I20130604000056 |
| Provider Name | Chelsea Ann Hoagland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801257969 PECOS PAC ID: 6305279563 Enrollment ID: I20191203000956 |
| Provider Name | Nicole Palmieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538716535 PECOS PAC ID: 2365871902 Enrollment ID: I20200403000104 |
| Provider Name | Morgan Edward Bardall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376130591 PECOS PAC ID: 1557744687 Enrollment ID: I20220822002997 |
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