| Brian Hoyt Hagerty, LSW | |
|
770 Woodlane Rd, Westampton, NJ 08060-3804 | |
| (609) 267-5928 | |
| Not Available |
| Full Name | Brian Hoyt Hagerty |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 11 Years |
| Location | 770 Woodlane Rd, Westampton, New Jersey |
| 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 |
|---|---|---|---|
| 1982274973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jersey Behavioral Care Llc | 4183992142 | 12 |
| Entity Name | Jersey Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740677152 PECOS PAC ID: 4183992142 Enrollment ID: O20170615000042 |
| Entity Name | Counseling Center At Fair Lawn, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407276975 PECOS PAC ID: 5496127086 Enrollment ID: O20230208000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Hoyt Hagerty, LSW 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 | Brian Hoyt Hagerty, LSW 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 |
Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928 | |
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 |