| Susan Jagodich, LCSW | |
|
2 Industrial Way W, Eatontown, NJ 07724-2265 | |
| (732) 936-7709 | |
| Not Available |
| Full Name | Susan Jagodich |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2 Industrial Way W, Eatontown, 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 |
|---|---|---|---|
| 1750528592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05692700 (New Jersey) | Primary |
| Entity Name | Cpc Behavioral Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366497356 PECOS PAC ID: 3971593161 Enrollment ID: O20040518000822 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Jagodich, LCSW 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () - | Susan Jagodich, LCSW 2 Industrial Way W, Eatontown, NJ 07724-2265 Ph: (732) 936-7709 |
Leeann Sottile, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 613 Hope Rd, Eatontown, NJ 07724 Phone: 732-544-4544 Fax: 732-544-4644 | |
Marie E Castillo-chece, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 615 Hope Rd, Eatontown, NJ 07724 Phone: 732-389-0697 Fax: 732-389-0611 | |
Margaret V Aulson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Industrial Way W Bldg A, Eatontown, NJ 07724 Phone: 732-520-3688 Fax: 718-336-6815 | |
Sari Gottlieb Kornfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 615 Hope Road, Bldg 3b, Mailbox #8, Eatontown, NJ 07724 Phone: 732-724-1234 | |
Kelsey Scalfaro, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd Ste 3b, Eatontown, NJ 07724 Phone: 732-724-1234 | |
Mrs. Christine Elizabeth Fernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Corbett Say, Eatontown, NJ 07701 Phone: 732-380-7061 | |
Casandra Christensen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Main St Ste 314, Eatontown, NJ 07724 Phone: 800-605-0612 |