| Melissa Wladich, LCSW | |
|
1500 Route 88, Brick, NJ 08724-2320 | |
| (732) 458-1700 | |
| (732) 785-9500 |
| Full Name | Melissa Wladich |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1500 Route 88, Brick, 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 |
|---|---|---|---|
| 1932581972 | NPI | - | NPPES |
| 0029807 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05523500 (New Jersey) | Primary |
| Entity Name | Shore Integrated Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487266839 PECOS PAC ID: 9032529904 Enrollment ID: O20201104000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Wladich, LCSW 1500 Route 88, Brick, NJ 08724-2320 Ph: (732) 458-1700 | Melissa Wladich, LCSW 1500 Route 88, Brick, NJ 08724-2320 Ph: (732) 458-1700 |
Maggie Sperry, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Route 88, Brick, NJ 08724 Phone: 732-785-1900 | |
Amy Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Jack Martin Blvd, 2e, Brick, NJ 08724 Phone: 732-920-3434 | |
Mr. George R Paulsen, MA LPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2095 Route 88, Suite 3, Brick, NJ 08724 Phone: 732-701-0440 Fax: 732-701-0419 | |
Lindsay Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 970 Nj-70, Brick, NJ 08724 Phone: 732-206-8900 | |
Kaitlin Moran, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 445 Brick Blvd Ste 204, Brick, NJ 08723 Phone: 732-908-7966 | |
Jacqueline Lucas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1683 Route 88 W, Brick, NJ 08724 Phone: 732-840-5266 | |
Mrs. Stacy L Novak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Beaverson Blvd Ste 8a, Brick, NJ 08723 Phone: 732-491-9820 |