| Mallory Bradley, | |
|
1211 Minnehaha Trl, Manasquan, NJ 08736-2022 | |
| (732) 539-2018 | |
| Not Available |
| Full Name | Mallory Bradley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1211 Minnehaha Trl, Manasquan, 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 |
|---|---|---|---|
| 1063950152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05719700 (New Jersey) | Primary |
| Entity Name | Medical Service Professionals of NJ LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972044923 PECOS PAC ID: 9931473139 Enrollment ID: O20170927002286 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Bradley, 1211 Minnehaha Trl, Manasquan, NJ 08736-2022 Ph: (732) 539-2018 | Mallory Bradley, 1211 Minnehaha Trl, Manasquan, NJ 08736-2022 Ph: (732) 539-2018 |
Jordan Policari, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1707 Atlantic Ave Ste 4, Manasquan, NJ 08736 Phone: 732-920-3434 |
Brian T Butch, MDIV, MSW, MA, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 South St, Manasquan, NJ 08736 Phone: 732-223-4673 |
Mrs. Heidi K Rodrick, L.C.S.W., L.C.A.D.C. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1913 Atlantic Ave, Suite F5, Manasquan, NJ 08736 Phone: 732-223-3131 Fax: 732-223-6262 |
Ms. Nancy Elizabeth Donahue, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1137 Tecumseh Pl, Manasquan, NJ 08736 Phone: 646-785-3078 Fax: 732-714-0968 |
Mary Beth L Gallimore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2517 Highway 35, Bldg. J, Suite 101, Manasquan, NJ 08736 Phone: 732-223-1133 |
Patricia Corlett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 365 Euclid Ave, Manasquan, NJ 08736 Phone: 908-656-0047 |
Rachel Brandeis Feldman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2516 Highway 35, Manasquan, NJ 08736 Phone: 732-223-9333 |