| Sebin Jose, | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | |
| (910) 450-4357 | |
| Not Available |
| Full Name | Sebin Jose |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 22 Years |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457190332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149026616 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thriveworks Clinical - Illinois | 6800263823 | 45 |
| Entity Name | Thriveworks Clinical - Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Sebin Jose, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 Ph: Not Available | Sebin Jose, 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4357 |
Mrs. Amy Dawn Heinz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Wounded Warrior Battalion Bldg Pp3, Va Liaison For Healthcare Rm 143, Camp Lejeune, NC 28542 Phone: 910-528-6603 Fax: 910-450-7177 |
Alexis Armani Becks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-451-8015 |
Angela Brianne Jantomaso, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-451-3079 |
Ruth Rotchford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-315-6754 |
Ms. Susan Parris Del Grande, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4127 Fax: 910-450-3766 |
Dr. Doug Huntt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Marsoc Hq Stone Bay, Bldg 400 Rm 1600, Camp Lejeune, NC 28542 Phone: 910-440-2570 |
Stephanie Renee Green, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-449-1139 |