Theracorp Therapeutic Solutions | |
79 E Railroad Ave Jamesburg NJ 08831-1207 | |
(732) 561-8555 | |
Not Available |
Full Name | Theracorp Therapeutic Solutions |
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Speciality | Social Worker |
Location | 79 E Railroad Ave, Jamesburg, New Jersey |
Authorized Official Name and Position | Alla Krutyansky (PRESIDENT) |
Authorized Official Contact | 9732076834 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Theracorp Therapeutic Solutions 79 E Railroad Ave Jamesburg NJ 08831-1207 Ph: (732) 561-8555 | Theracorp Therapeutic Solutions 79 E Railroad Ave Jamesburg NJ 08831-1207 Ph: (732) 561-8555 |
NPI Number | 1063947828 |
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Provider Enumeration Date | 04/28/2017 |
Last Update Date | 11/11/2021 |
Certification Date | 11/30/2020 |
Medicare PECOS PAC ID | 8426319104 |
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Medicare Enrollment ID | O20180220001235 |
Identifier | Type | State | Issuer |
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1063947828 | NPI | - | NPPES |
Provider Name | Karen Mulgrum |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821129354 PECOS PAC ID: 2264557602 Enrollment ID: I20100909000114 |
Provider Name | Regina B Glisson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245576834 PECOS PAC ID: 7214175256 Enrollment ID: I20130603000206 |
Provider Name | Azuka M Ofodike |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922422617 PECOS PAC ID: 8325367931 Enrollment ID: I20150504001144 |
Provider Name | Murla Ecclesiaste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861820235 PECOS PAC ID: 3072742345 Enrollment ID: I20190116003077 |
Provider Name | Alla Krutyansky |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497293096 PECOS PAC ID: 7416218193 Enrollment ID: I20190716000646 |
Provider Name | Alexa P Saks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811572415 PECOS PAC ID: 8022425479 Enrollment ID: I20210331000888 |
Provider Name | Kerry Gorbos |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417426255 PECOS PAC ID: 3375930480 Enrollment ID: I20220420000069 |
Provider Name | Constance Lieberman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942769252 PECOS PAC ID: 8325404783 Enrollment ID: I20230510001424 |
Provider Name | Jaclyn Camporeale |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114615606 PECOS PAC ID: 4981060514 Enrollment ID: I20230523003196 |
Provider Name | Francesca Enriquez |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801297510 PECOS PAC ID: 6406205483 Enrollment ID: I20231215002443 |
Provider Name | Kathleen Shaughnessy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1669002796 PECOS PAC ID: 6901255819 Enrollment ID: I20231218000139 |
Provider Name | Amanda D'orazio |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154792604 PECOS PAC ID: 5597114439 Enrollment ID: I20231218001570 |
Provider Name | Tattiana Davis-achonye |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1043939648 PECOS PAC ID: 4082067020 Enrollment ID: I20240131000154 |
Provider Name | Sade Ashanti Glenn |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1114440476 PECOS PAC ID: 5799120622 Enrollment ID: I20240229003707 |
Easter Seals New Jersey Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Forsgate Drive, Jamesburg, NJ 08831 Phone: 732-257-6662 Fax: 732-257-7373 | |
The Arc Middlesex County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 E Railroad Ave, Jamesburg, NJ 08831 Phone: 732-605-0005 |