Jeffrey Tucker, LCSW | |
2130 Millburn Ave, Maplewood, NJ 07040-3725 | |
(646) 382-7410 | |
Not Available |
Full Name | Jeffrey Tucker |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2130 Millburn Ave, Maplewood, 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 |
---|---|---|---|
1225629694 | NPI | - | NPPES |
0663123 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05762700 (New Jersey) | Primary |
Entity Name | Breakthrough Therapy And Resources |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407612435 PECOS PAC ID: 3274062674 Enrollment ID: O20250130001650 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Tucker, LCSW Po Box 874, Hillside, NJ 07205-0874 Ph: (646) 382-7410 | Jeffrey Tucker, LCSW 2130 Millburn Ave, Maplewood, NJ 07040-3725 Ph: (646) 382-7410 |
Lesley Ann Dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave 100-6, Maplewood, NJ 07040 Phone: 973-280-0410 | |
Ms. Joan Framo Runfola, MSSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 658 Ridgewood Rd, #8, Maplewood, NJ 07040 Phone: 201-341-2351 Fax: 888-800-0201 | |
James Vasey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Heller Pl, Maplewood, NJ 07040 Phone: 862-205-9938 | |
Allison Berwald, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 124 Norfolk Ave, Maplewood, NJ 07040 Phone: 631-827-0203 | |
Thomas James Obrzut, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 31 Rynda Rd, Maplewood, NJ 07040 Phone: 908-692-6739 | |
Ms. Jessica Lynne Estreicher, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 Oakview Ave, Maplewood, NJ 07040 Phone: 917-282-7733 | |
Joan Kritsky, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 169 Maplewood Ave, Suite 2, Maplewood, NJ 07040 Phone: 917-696-6658 |