| Mr Daniel Struble, LCSW | |
|
32 Village Ct, Hazlet, NJ 07730-1533 | |
| (732) 335-1675 | |
| (732) 335-1151 |
| Full Name | Mr Daniel Struble |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 32 Village Ct, Hazlet, 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 |
|---|---|---|---|
| 1114032588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00113700 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC05223800 (New Jersey) | Secondary |
| Entity Name | Grateful Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770159188 PECOS PAC ID: 1052787298 Enrollment ID: O20221013001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Struble, LCSW 32 Village Ct, Hazlet, NJ 07730-1533 Ph: (732) 335-1675 | Mr Daniel Struble, LCSW 32 Village Ct, Hazlet, NJ 07730-1533 Ph: (732) 335-1675 |
Kimberly Mackanic, LCSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3036 Route 35 # 321, Hazlet, NJ 07730 Phone: 732-630-5968 | |
Michael Fenimore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Village Ct, Hazlet, NJ 07730 Phone: 732-737-7105 | |
Alexandra Helen Merendino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Village Ct, Hazlet, NJ 07730 Phone: 732-639-0232 | |
Rita Stenavage, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd Ste 70, Hazlet, NJ 07730 Phone: 732-252-7314 | |
Amanda Lonnay, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd Ste 69, Hazlet, NJ 07730 Phone: 732-670-7723 | |
Tiffany Palazzo, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1 Bethany Rd Ste 60, Hazlet, NJ 07730 Phone: 732-639-0232 |