| Shoshana Stockelberg, Lcsw | |
|
50 Highway 9 S Suite 101 Morganville NJ 07751-1574 | |
| (732) 547-5082 | |
| (732) 431-4892 |
| Full Name | Shoshana Stockelberg, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 50 Highway 9 S, Morganville, New Jersey |
| Authorized Official Name and Position | Shoshana Stockelberg (OWNER) |
| Authorized Official Contact | 7325475082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoshana Stockelberg, Lcsw 33 Enright Ave Freehold NJ 07728-2029 Ph: (732) 547-5082 | Shoshana Stockelberg, Lcsw 50 Highway 9 S Suite 101 Morganville NJ 07751-1574 Ph: (732) 547-5082 |
| NPI Number | 1750764908 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 5395053805 |
|---|---|
| Medicare Enrollment ID | O20151002001419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750764908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 44SC05276600 (New Jersey) | Primary |
| Provider Name | Shoshana Stockelberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396828026 PECOS PAC ID: 6204144710 Enrollment ID: I20151002001490 |
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