| Mr Brian Passalaqua, LCSW | |
| 
					500 W 10th St, Wilmington, DE 19801-1422  | |
| (302) 230-9154 | |
| (302) 691-1100 | 
| Full Name | Mr Brian Passalaqua | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 500 W 10th St, Wilmington, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912288804 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | Q1-0001092 (Delaware) | Primary | 
| Entity Name | Anew Mental Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780092528 PECOS PAC ID: 3870810229 Enrollment ID: O20150323001832  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Brian Passalaqua, LCSW 500 W 10th St, Wilmington, DE 19801-1422 Ph: (302) 230-9154  | Mr Brian Passalaqua, LCSW 500 W 10th St, Wilmington, DE 19801-1422 Ph: (302) 230-9154  | 
April Grant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Foulk Rd, Wilmington, DE 19803 Phone: 302-655-3953 Fax: 302-655-1149  | |
William B Mccracken, LCSW,ICADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2607 N Harrison St, Wilmington, DE 19802 Phone: 302-307-1779  | |
Charles Joseph Lutz, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Kirkwood Hwy, Wilmington, DE 19805 Phone: 302-994-1660  | |
Robert J Davis,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1213 Delaware Ave, Wilmington, DE 19806 Phone: 302-652-3948 Fax: 302-652-8297  | |
Mr. Darin Christian Bishop, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Kirkwood Hwy, Bldg 2, Wilmington, DE 19805 Phone: 302-994-2511 Fax: 302-633-5303  | |
Mr. Ron Wolskee, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4100 Dawnbrook Dr, Wilmington, DE 19804 Phone: 302-894-1477  | |
Mr. Lamont Josey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Colony Blvd, Wilmington, DE 19802 Phone: 302-559-6654  |