| Lisa Marie Burkholder, LCSW | |
|
505a Cypress Point Cir, Mount Laurel, NJ 08054-2742 | |
| (856) 566-6843 | |
| Not Available |
| Full Name | Lisa Marie Burkholder |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 505a Cypress Point Cir, Mount Laurel, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063990802 | NPI | - | NPPES |
| 0811025 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW019327 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05905800 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
| Entity Name | Rowansom Newjersey Institute For Successful Aging-geriatric Psychiatry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881668846 PECOS PAC ID: 8325031792 Enrollment ID: O20040403000268 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Burkholder, LCSW 505a Cypress Point Cir, Mount Laurel, NJ 08054-2742 Ph: (856) 566-6843 | Lisa Marie Burkholder, LCSW 505a Cypress Point Cir, Mount Laurel, NJ 08054-2742 Ph: (856) 566-6843 |
Monica Dorrie Krulewitz, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Fairway Ter, Mount Laurel, NJ 08054 Phone: 856-787-7150 Fax: 856-787-1521 | |
Melanie Costa, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2201 Sedgefield Dr, Mount Laurel, NJ 08054 Phone: 856-359-4455 | |
Mari R Oresic, MSS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3110 Route 38, Mount Laurel, NJ 08054 Phone: 856-235-7126 | |
Melanie Uhse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 Country Club Pkwy # A, Mount Laurel, NJ 08054 Phone: 734-306-2696 | |
Zachary P Battipaglia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Crest Ct, Mount Laurel, NJ 08054 Phone: 215-779-1946 | |
Catherine Alice Jacobsen, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1200 S Church St, Suite 14, Mount Laurel, NJ 08054 Phone: 609-304-4949 |