| Timothy Alan Judson, | |
|
920 E Baltimore Pike, Kennett Square, PA 19348-1800 | |
| (610) 388-9225 | |
| Not Available |
| Full Name | Timothy Alan Judson |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 920 E Baltimore Pike, Kennett Square, Pennsylvania |
| 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 |
|---|---|---|---|
| 1225679145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW022200 (Pennsylvania) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SW135513 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Senior Care Therapy Of Pennsylvania Pc | 2264791268 | 16 |
| Entity Name | Senior Care Therapy Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003320672 PECOS PAC ID: 2264791268 Enrollment ID: O20180122000153 |
| 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: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Alan Judson, 369 W Broad St Apt 5, Souderton, PA 18964-1856 Ph: (484) 636-9345 | Timothy Alan Judson, 920 E Baltimore Pike, Kennett Square, PA 19348-1800 Ph: (610) 388-9225 |
Andrea C Devries, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 W. Street Road, Suite 302, Kennett Square, PA 19348 Phone: 610-444-1841 | |
Ms. Sandra Brown, M.S.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E Thomas Ct, Kennett Square, PA 19348 Phone: 610-388-6116 | |
Ms. Margaret Lee Bagnal, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 102 E State St, Suite 2, Kennett Square, PA 19348 Phone: 610-444-9494 Fax: 610-444-9655 | |
Mrs. Margaret Reynolds Dorgan, M.S.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 W Street Rd, Suite 302, Kennett Square, PA 19348 Phone: 610-925-1501 Fax: 610-925-1581 | |
Natalie Marie Santos, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 E Baltimore Pike # 200, Kennett Square, PA 19348 Phone: 610-388-7400 | |
Amanda Pisark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1660 E Street Rd, Kennett Square, PA 19348 Phone: 610-388-5655 |