| Colleen Jeffus, LCSW | |
|
456 Waverly Ave, Patchogue, NY 11772-1586 | |
| (631) 447-6460 | |
| Not Available |
| Full Name | Colleen Jeffus |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 456 Waverly Ave, Patchogue, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386045524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 086436 (New York) | Primary |
| 104100000X | Social Worker | 092650-1 (New York) | Secondary |
| Entity Name | Federation Of Organizations For The Ny State Mentally Disabled, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346433307 PECOS PAC ID: 6800823782 Enrollment ID: O20050721001040 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Jeffus, LCSW 456 Waverly Ave, Patchogue, NY 11772-1586 Ph: (631) 447-6460 | Colleen Jeffus, LCSW 456 Waverly Ave, Patchogue, NY 11772-1586 Ph: (631) 447-6460 |
Linda S Kline, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Oak St, Suite 14, Patchogue, NY 11772 Phone: 631-567-3940 Fax: 631-447-9717 | |
Kelly L Dean, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 456 Waverly Ave, Patchogue, NY 11772 Phone: 631-447-6460 Fax: 631-289-7098 | |
Marcella Maria Nicotra, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Cedar Grove Ct, Patchogue, NY 11772 Phone: 631-294-1588 | |
Mr. James Walter Banks Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 140 North Ocean Ave, Patchogue, NY 11772 Phone: 631-654-8101 | |
Mrs. Arlene F Reitzel Williams, CLINCAL SOCIAL WORKE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 Putnam Ave, Patchogue, NY 11772 Phone: 631-758-7209 Fax: 631-758-7209 | |
Ms. Alexandra Ann Lennon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 S. Ocean Avenue., Patchogue-medford School District, Patchogue, NY 11772 Phone: 631-687-8706 | |
Mr. Kenneth C Gaughran, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 E Main St Ste 100, Patchogue, NY 11772 Phone: 631-286-8282 |