| Jennifer Pax, | |
|
56 Bryan Rd, Washington, NJ 07882-3520 | |
| (718) 663-1205 | |
| Not Available |
| Full Name | Jennifer Pax |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 56 Bryan Rd, Washington, 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 |
|---|---|---|---|
| 1316302540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05529700 (New Jersey) | Primary |
| Entity Name | Mtca Psychological Services P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Pax, 56 Bryan Rd, Washington, NJ 07882-3520 Ph: (718) 663-1205 | Jennifer Pax, 56 Bryan Rd, Washington, NJ 07882-3520 Ph: (718) 663-1205 |
Mr. Kenneth Palmisano, LCSW,LCADC,CCS,CPRS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 492 Route 57 W, Washington, NJ 07882 Phone: 908-689-1000 Fax: 908-689-1491 | |
Julia A Craven, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 492 Rt 57 West, Washington, NJ 07882 Phone: 908-689-1000 Fax: 908-689-4529 | |
Kathy M Kane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 492 Route 57 W, Washington, NJ 07882 Phone: 908-689-1000 Fax: 908-689-4529 | |
Leslie Ann Frey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 492 Route 57 West, Family Guidance Center Of Warren County, Washington, NJ 07882 Phone: 908-689-1000 Fax: 908-689-4529 | |
Ms. Laurie H Boehm, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 492 Route 57 W, Washington, NJ 07882 Phone: 908-689-1000 Fax: 908-689-4529 | |
Jeffrey Greenfield, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Family Guidance Center Of Warren County, 492 Route 57 West, Washington, NJ 07882 Phone: 908-689-1000 Fax: 908-689-4529 |