| Jaclyn Centeno, | |
|
85 Crescent Ave, Passaic, NJ 07055-2437 | |
| (973) 264-0023 | |
| Not Available |
| Full Name | Jaclyn Centeno |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 85 Crescent Ave, Passaic, 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 |
|---|---|---|---|
| 1205514221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05985200 (New Jersey) | Primary |
| Entity Name | Senior Care Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Centeno, 104 S Cass Ave, Minotola, NJ 08341-1228 Ph: (609) 808-2194 | Jaclyn Centeno, 85 Crescent Ave, Passaic, NJ 07055-2437 Ph: (973) 264-0023 |
Alexander Fleischer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 412 Brook Ave, Passaic, NJ 07055 Phone: 917-213-0749 | |
Sara Katz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 | |
Ms. Abril Lazaro, LSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 | |
Suzanne L Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 Fax: 973-777-9311 | |
Dr. Simon Y Feuerman, PSYD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Main Ave, Suite B, Passaic, NJ 07055 Phone: 973-249-8111 | |
Rivkah Weldler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Main Ave, Passaic, NJ 07055 Phone: 973-777-7638 | |
Lisa Ann Lussier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 85 Crescent Ave, Passaic, NJ 07055 Phone: 973-264-0022 |