| Mrs Jessica Stoll, LCSW | |
|
34 Willowood Dr, Wantagh, NY 11793-1217 | |
| (516) 531-3753 | |
| Not Available |
| Full Name | Mrs Jessica Stoll |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 34 Willowood Dr, Wantagh, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689133167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 093424 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | Q1-0012625 (Delaware) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica Stoll, LCSW 34 Willowood Dr, Wantagh, NY 11793-1217 Ph: () - | Mrs Jessica Stoll, LCSW 34 Willowood Dr, Wantagh, NY 11793-1217 Ph: (516) 531-3753 |
Gary Pelosi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Dorothy Morse, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 | |
Mrs. Melina Fazzolari-napoli, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2446 Woodland Ave, Wantagh, NY 11793 Phone: 516-847-5916 Fax: 516-232-8611 | |
Ms. Tricia Mccloskey, LCSW, CASAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 27 Deep Ln, Wantagh, NY 11793 Phone: 516-404-9884 | |
Nancy Keelan, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-221-3030 Fax: 516-221-4160 | |
Valencia Reid, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1259 Wantagh Ave, Wantagh, NY 11793 Phone: 516-262-3772 | |
Carol Golden-cuomo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Wantagh, NY 11793 Phone: 516-781-1911 Fax: 516-781-1173 |