Larriesa Smith, LCSW | |
5 Theresa Pl, South River, NJ 08882-2141 | |
(908) 227-0140 | |
Not Available |
Full Name | Larriesa Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5 Theresa Pl, South River, 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 |
---|---|---|---|
1144977281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06070700 (New Jersey) | Primary |
Entity Name | Vimax Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922440627 PECOS PAC ID: 7416273644 Enrollment ID: O20150306001011 |
Mailing Address | Practice Location Address |
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Larriesa Smith, LCSW 5 Theresa Pl, South River, NJ 08882-2141 Ph: () - | Larriesa Smith, LCSW 5 Theresa Pl, South River, NJ 08882-2141 Ph: (908) 227-0140 |
Melissa Bada-devers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Albourne St, South River, NJ 08882 Phone: 917-806-6943 | |
Cynthia Kozicki, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Northern St, South River, NJ 08882 Phone: 732-967-9238 | |
Mrs. J. Victoria Laszlo, LCSW, LCADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 171 Main St, South River, NJ 08882 Phone: 732-794-3629 Fax: 732-390-9298 |