| Mrs Carolynn Eva Feldblum, LSW | |
|
770 Woodlane Rd, Westampton, NJ 08060-3804 | |
| (609) 267-5928 | |
| Not Available |
| Full Name | Mrs Carolynn Eva Feldblum |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 770 Woodlane Rd, Westampton, 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 |
|---|---|---|---|
| 1063825909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44SL05942900 (New Jersey) | Primary |
| 101YM0800X | Counselor - Mental Health | SW129225 (Pennsylvania) | Secondary |
| Entity Name | Grow Healthcare Group Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carolynn Eva Feldblum, LSW 358 Winding Way, Merion Station, PA 19066-1534 Ph: (610) 668-1820 | Mrs Carolynn Eva Feldblum, 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 |