| Anastasia Katherine Kudless, LCSW | |
|
45 Perry St, Chester, NJ 07930-3604 | |
| (908) 529-0355 | |
| Not Available |
| Full Name | Anastasia Katherine Kudless |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 45 Perry St, Chester, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568013258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC06274200 (New Jersey) | Primary |
| 104100000X | Social Worker | 110985 (New York) | Secondary |
| Entity Name | Roots To Roses Psychotherapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790580264 PECOS PAC ID: 6002330875 Enrollment ID: O20250414002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Anastasia Katherine Kudless, LCSW 45 Perry St, Chester, NJ 07930-3604 Ph: (908) 529-0355 | Anastasia Katherine Kudless, LCSW 45 Perry St, Chester, NJ 07930-3604 Ph: (908) 529-0355 |
Mrs. Leah Ann Birchler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Fairmount Ave Ste 108, Chester, NJ 07930 Phone: 201-563-8539 | |
Margaret Ellen Szypiotko, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Fairmount Ave, Chester, NJ 07930 Phone: 908-879-0262 Fax: 908-879-8002 | |
Grant Koenig, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Mill Ridge Ln, Chester, NJ 07930 Phone: 908-914-2624 | |
Kelly Plue, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Pottersville Rd, Chester, NJ 07930 Phone: 201-693-3656 | |
Madelyn Kate Mcgee, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 Main St, Chester, NJ 07930 Phone: 908-914-2624 | |
Justin Cianciotto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 409 Main St, Chester, NJ 07930 Phone: 908-888-2648 | |
Mrs. Lisa Carol Perline, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Main St, Chester, NJ 07930 Phone: 908-256-3972 |