| Jennifer Gustavsen, | |
|
20 E Evergreen Ave, Somerdale, NJ 08083-1402 | |
| (856) 309-5420 | |
| Not Available |
| Full Name | Jennifer Gustavsen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 20 E Evergreen Ave, Somerdale, 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 |
|---|---|---|---|
| 1427309012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05509200 (New Jersey) | Primary |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295332690 PECOS PAC ID: 9032021175 Enrollment ID: O20031107000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Gustavsen, 20 E Evergreen Ave, Somerdale, NJ 08083-1402 Ph: () - | Jennifer Gustavsen, 20 E Evergreen Ave, Somerdale, NJ 08083-1402 Ph: (856) 309-5420 |
Courtney Jean Madden, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 Orchard Ave, Somerdale, NJ 08083 Phone: 609-605-8066 | |
Claudia M Peterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Glenwood Ave, Somerdale, NJ 08083 Phone: 908-764-0352 | |
Prof. Geraldine Atkins, M.S.W., A.B.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 810 Liberty Dr, Somerdale, NJ 08083 Phone: 856-325-0944 |