| Grow Healthcare Group Of New Jersey Pc | |
|
221 River St. Fl 9 Hoboken NJ 07030-5990 | |
| (201) 439-8902 | |
| Not Available |
| Full Name | Grow Healthcare Group Of New Jersey Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 221 River St. Fl 9, Hoboken, New Jersey |
| Authorized Official Name and Position | Jake Cooper (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3478511139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grow Healthcare Group Of New Jersey Pc 221 River St. Fl 9 Hoboken NJ 07030-5990 Ph: (201) 439-8902 | Grow Healthcare Group Of New Jersey Pc 221 River St. Fl 9 Hoboken NJ 07030-5990 Ph: (201) 439-8902 |
| NPI Number | 1841949328 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 5193194835 |
|---|---|
| Medicare Enrollment ID | O20221220000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841949328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Melisa Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205093747 PECOS PAC ID: 5597757534 Enrollment ID: I20040331000945 |
| Provider Name | Ahylzabeth Giannantonio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386765113 PECOS PAC ID: 9830168178 Enrollment ID: I20041001001008 |
| Provider Name | Sandra Isaacs Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023182359 PECOS PAC ID: 0345294120 Enrollment ID: I20050303001028 |
| Provider Name | Patricia L Kenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285701201 PECOS PAC ID: 7012955016 Enrollment ID: I20050420000822 |
| Provider Name | Dante C Mercurio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942381777 PECOS PAC ID: 8628010329 Enrollment ID: I20050524000059 |
| Provider Name | Yuri Mazur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255380879 PECOS PAC ID: 3870580483 Enrollment ID: I20050913000070 |
| Provider Name | Elise Nerenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659311173 PECOS PAC ID: 2769403138 Enrollment ID: I20051221000156 |
| Provider Name | Rosa Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508074881 PECOS PAC ID: 6901839265 Enrollment ID: I20060216000278 |
| Provider Name | Berta Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639389943 PECOS PAC ID: 3072522945 Enrollment ID: I20060420000613 |
| Provider Name | Morgan D Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932270899 PECOS PAC ID: 8729181102 Enrollment ID: I20070306000481 |
| Provider Name | Gretchen Raring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194878371 PECOS PAC ID: 0941301121 Enrollment ID: I20070719000059 |
| Provider Name | Mona Williams Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336244227 PECOS PAC ID: 9133213457 Enrollment ID: I20070918000257 |
| Provider Name | Susan Bergen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083897797 PECOS PAC ID: 1052491875 Enrollment ID: I20080107000542 |
| Provider Name | Jacqueline C Oshiver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427101476 PECOS PAC ID: 2769569292 Enrollment ID: I20080409000076 |
| Provider Name | Jerry Lee Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801953716 PECOS PAC ID: 5496810392 Enrollment ID: I20090210000060 |
| Provider Name | Christine Antonelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780835470 PECOS PAC ID: 6406913730 Enrollment ID: I20090331000513 |
| Provider Name | Ellyn A Geller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326364662 PECOS PAC ID: 9133312762 Enrollment ID: I20101015000065 |
| Provider Name | Evelyn J Nieves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649483959 PECOS PAC ID: 2062600737 Enrollment ID: I20101222000036 |
| Provider Name | James Monaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033363247 PECOS PAC ID: 1759551591 Enrollment ID: I20110902000381 |
| Provider Name | Laura Lee Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003073701 PECOS PAC ID: 2567633506 Enrollment ID: I20110922000416 |
| Provider Name | David A Kensler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023396637 PECOS PAC ID: 4486827359 Enrollment ID: I20111109000750 |
| Provider Name | Jennifer L Cozzolino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356618029 PECOS PAC ID: 1355517822 Enrollment ID: I20120104000736 |
| Provider Name | Christine M Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295919413 PECOS PAC ID: 3870754880 Enrollment ID: I20120419000240 |
| Provider Name | Vida-lynn Boahemaa Asiamah-asare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649525510 PECOS PAC ID: 1254588007 Enrollment ID: I20120829000629 |
| Provider Name | Michelle L Harney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013266725 PECOS PAC ID: 6800046194 Enrollment ID: I20121023000110 |
| Provider Name | Olufunmilayo Ilori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700142445 PECOS PAC ID: 1355588344 Enrollment ID: I20130510000470 |
| Provider Name | Timothy Ssewagaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659613404 PECOS PAC ID: 9638317399 Enrollment ID: I20130607000624 |
| Provider Name | Donna M Nelson-henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366792467 PECOS PAC ID: 2567606494 Enrollment ID: I20130916000630 |
| Provider Name | Liza Howe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568629962 PECOS PAC ID: 1850535253 Enrollment ID: I20130925000805 |
| Provider Name | Indira M Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124457247 PECOS PAC ID: 8426287996 Enrollment ID: I20140203000311 |
| Provider Name | Valsamma P Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871815241 PECOS PAC ID: 4789816810 Enrollment ID: I20140403002060 |
| Provider Name | Calvin C George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841628377 PECOS PAC ID: 5991924268 Enrollment ID: I20140918001115 |
| Provider Name | Marian Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538332929 PECOS PAC ID: 5496073181 Enrollment ID: I20150408002705 |
| Provider Name | Ursula N Odimara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629490222 PECOS PAC ID: 1153553078 Enrollment ID: I20150519001012 |
| Provider Name | Allyson Kloss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558757294 PECOS PAC ID: 7911227442 Enrollment ID: I20150522001122 |
| Provider Name | Henry Adewole Ibitokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109744 PECOS PAC ID: 7618282153 Enrollment ID: I20150813009772 |
| Provider Name | Mahip Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814022 PECOS PAC ID: 3274834577 Enrollment ID: I20151210000555 |
| Provider Name | Christianah Adelakun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043646839 PECOS PAC ID: 9436450228 Enrollment ID: I20151221001959 |
| Provider Name | Paula George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982078275 PECOS PAC ID: 9234431909 Enrollment ID: I20160112002809 |
| Provider Name | Rosemarie N Patrizio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073978912 PECOS PAC ID: 0547564767 Enrollment ID: I20160209002200 |
| Provider Name | Lavanya Kamineni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281179 PECOS PAC ID: 7113224825 Enrollment ID: I20160323002395 |
| Provider Name | Courtney Henson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013167857 PECOS PAC ID: 1658662820 Enrollment ID: I20160617001119 |
| Provider Name | Delia Livres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952764516 PECOS PAC ID: 8123312444 Enrollment ID: I20160810000341 |
| Provider Name | Christopher A Rambaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114471372 PECOS PAC ID: 3274820865 Enrollment ID: I20160926001309 |
| Provider Name | Claudine Destine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912454927 PECOS PAC ID: 6709166200 Enrollment ID: I20161129000433 |
| Provider Name | Christala Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841414653 PECOS PAC ID: 2961688841 Enrollment ID: I20161130001531 |
| Provider Name | Olubunmi Adetule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245786979 PECOS PAC ID: 9638450422 Enrollment ID: I20170110003094 |
| Provider Name | Tolulope Olajumoke Kolawole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598218042 PECOS PAC ID: 2365725488 Enrollment ID: I20170215000214 |
| Provider Name | Claudia M Teh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992554 PECOS PAC ID: 2062799158 Enrollment ID: I20170427000123 |
| Provider Name | Julie Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497292445 PECOS PAC ID: 0042597064 Enrollment ID: I20170501000703 |
| Provider Name | Karina Raupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700201795 PECOS PAC ID: 5597034405 Enrollment ID: I20170710001274 |
| Provider Name | Daniel D Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023325172 PECOS PAC ID: 9234391533 Enrollment ID: I20170809002841 |
| Provider Name | Chinenye Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790019644 PECOS PAC ID: 3870635881 Enrollment ID: I20170810000082 |
| Provider Name | Zhanna Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184071318 PECOS PAC ID: 2264727825 Enrollment ID: I20170811000157 |
| Provider Name | Toyin Oladele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760917827 PECOS PAC ID: 2668746207 Enrollment ID: I20170921000603 |
| Provider Name | Rebecca Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326499658 PECOS PAC ID: 6305128596 Enrollment ID: I20171107001822 |
| Provider Name | Elizabeth Allocca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083165757 PECOS PAC ID: 8628336427 Enrollment ID: I20171228001451 |
| Provider Name | Wilber Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215444591 PECOS PAC ID: 4082974274 Enrollment ID: I20180208000765 |
| Provider Name | Ned Hanover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497974406 PECOS PAC ID: 7416218771 Enrollment ID: I20180228003104 |
| Provider Name | Katelyn Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487141412 PECOS PAC ID: 0648534206 Enrollment ID: I20180507001147 |
| Provider Name | Chinyere Evangeline Ubah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770907784 PECOS PAC ID: 5991069460 Enrollment ID: I20180509000977 |
| Provider Name | Joan Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992108930 PECOS PAC ID: 6103180328 Enrollment ID: I20180515002845 |
| Provider Name | Providencia Lebron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396158523 PECOS PAC ID: 4385909043 Enrollment ID: I20180530000466 |
| Provider Name | Megan Habbershon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992183701 PECOS PAC ID: 6709141021 Enrollment ID: I20180607000334 |
| Provider Name | Gregory Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265700983 PECOS PAC ID: 4587955430 Enrollment ID: I20180730002063 |
| Provider Name | Nadine Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871547687 PECOS PAC ID: 6204923030 Enrollment ID: I20180914000072 |
| Provider Name | Sondra Dublinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497118475 PECOS PAC ID: 6608128962 Enrollment ID: I20181015002129 |
| Provider Name | Rafia Grooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043712003 PECOS PAC ID: 9739436239 Enrollment ID: I20181220001959 |
| Provider Name | Murla Ecclesiaste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861820235 PECOS PAC ID: 3072742345 Enrollment ID: I20190116003077 |
| Provider Name | Devon Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841678430 PECOS PAC ID: 8820387509 Enrollment ID: I20190325000411 |
| Provider Name | Nancy Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275016842 PECOS PAC ID: 7012258759 Enrollment ID: I20190408001686 |
| Provider Name | Philip Ofosu-mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538725288 PECOS PAC ID: 3577898626 Enrollment ID: I20190711000611 |
| Provider Name | Martins Akhibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568029684 PECOS PAC ID: 3072840396 Enrollment ID: I20190809000563 |
| Provider Name | Mary Montenegro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346895778 PECOS PAC ID: 6800125790 Enrollment ID: I20190830001714 |
| Provider Name | Kelly Marchione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306023338 PECOS PAC ID: 9436489143 Enrollment ID: I20190924000066 |
| Provider Name | Amir Pooyan Faghfoory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245558105 PECOS PAC ID: 3476708587 Enrollment ID: I20191031001241 |
| Provider Name | Shanae Caldwell Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891355657 PECOS PAC ID: 4385077643 Enrollment ID: I20191127002448 |
| Provider Name | Claudine T Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710534714 PECOS PAC ID: 2668807827 Enrollment ID: I20200115002913 |
| Provider Name | Schaune Gamble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295055713 PECOS PAC ID: 9133554181 Enrollment ID: I20200121001602 |
| Provider Name | Eileen G Mchugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952534984 PECOS PAC ID: 3577990225 Enrollment ID: I20200219001544 |
| Provider Name | Nicole Purwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184081325 PECOS PAC ID: 5597192195 Enrollment ID: I20200220001069 |
| Provider Name | Cherokee Cabell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013415074 PECOS PAC ID: 4486081825 Enrollment ID: I20200225002420 |
| Provider Name | Ifeoluwa Akindunbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780568 PECOS PAC ID: 8820425754 Enrollment ID: I20200305000472 |
| Provider Name | Mohammad Waqas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755921 PECOS PAC ID: 0749610566 Enrollment ID: I20200420000463 |
| Provider Name | Basheer Ahmad Shabazz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235439860 PECOS PAC ID: 9638500440 Enrollment ID: I20200512000817 |
| Provider Name | Vera Solovieva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952479800 PECOS PAC ID: 1557438348 Enrollment ID: I20200519000398 |
| Provider Name | Cassandra Rushin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871986778 PECOS PAC ID: 6800227257 Enrollment ID: I20200519001199 |
| Provider Name | Steven Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245664341 PECOS PAC ID: 0648692939 Enrollment ID: I20200615001098 |
| Provider Name | Sharon E Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618580 PECOS PAC ID: 2961827118 Enrollment ID: I20200804003545 |
| Provider Name | Sarah C Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497927164 PECOS PAC ID: 4688907504 Enrollment ID: I20201105002086 |
| Provider Name | Abiola O Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356948327 PECOS PAC ID: 2062825482 Enrollment ID: I20210104001251 |
| Provider Name | Firmin Langyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871106088 PECOS PAC ID: 8325452766 Enrollment ID: I20210127000426 |
| Provider Name | Ami Elizabeth Kent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740621499 PECOS PAC ID: 5698909901 Enrollment ID: I20210223001627 |
| Provider Name | Stephanie Vassallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033554720 PECOS PAC ID: 8022259753 Enrollment ID: I20210317000253 |
| Provider Name | Amy Lynn Torpey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346625423 PECOS PAC ID: 6002224706 Enrollment ID: I20210419001173 |
| Provider Name | Tiffany Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699165373 PECOS PAC ID: 5890103311 Enrollment ID: I20210422001728 |
| Provider Name | Jeffrey Thoelen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508444977 PECOS PAC ID: 2769881317 Enrollment ID: I20210602000050 |
| Provider Name | Carolynn Feldblum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063825909 PECOS PAC ID: 1557762036 Enrollment ID: I20210622003674 |
| Provider Name | Jennive Cardoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164004610 PECOS PAC ID: 5698177467 Enrollment ID: I20210715003821 |
| Provider Name | Regina N Inokon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982210969 PECOS PAC ID: 8921401241 Enrollment ID: I20210723003331 |
| Provider Name | Viergina L Dudley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164990909 PECOS PAC ID: 7214333566 Enrollment ID: I20210911000148 |
| Provider Name | Jennifer O'brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093356503 PECOS PAC ID: 5193122760 Enrollment ID: I20210923002985 |
| Provider Name | Choomia Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559638 PECOS PAC ID: 1759789340 Enrollment ID: I20211012003033 |
| Provider Name | Funmilayo J Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760719512 PECOS PAC ID: 1850683889 Enrollment ID: I20211021001006 |
| Provider Name | Yahaya Animashaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710157961 PECOS PAC ID: 8123416914 Enrollment ID: I20211027002786 |
| Provider Name | Rene Youssef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285396747 PECOS PAC ID: 1850789512 Enrollment ID: I20211028002975 |
| Provider Name | Doris Chukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427631217 PECOS PAC ID: 1254720352 Enrollment ID: I20211111000239 |
| Provider Name | Fides Isidro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427276013 PECOS PAC ID: 8325430937 Enrollment ID: I20220111001820 |
| Provider Name | Ngozi Nkemka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065716 PECOS PAC ID: 1153713904 Enrollment ID: I20220128000126 |
| Provider Name | Oladunni Liyele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225704109 PECOS PAC ID: 0749673259 Enrollment ID: I20220204001860 |
| Provider Name | Amaka Akpunonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306435284 PECOS PAC ID: 2466845789 Enrollment ID: I20220209002637 |
| Provider Name | Ryan Samuel Wooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558032821 PECOS PAC ID: 8921492844 Enrollment ID: I20220218000517 |
| Provider Name | Gina J Winjobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144800418 PECOS PAC ID: 3274927298 Enrollment ID: I20220308000773 |
| Provider Name | Isaac K Oke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932869450 PECOS PAC ID: 1557756384 Enrollment ID: I20220315000412 |
| Provider Name | Ernst Renondeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134714546 PECOS PAC ID: 8527455567 Enrollment ID: I20220421002701 |
| Provider Name | Kristen L Salvi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417423799 PECOS PAC ID: 2668869405 Enrollment ID: I20220427000054 |
| Provider Name | Fausat F Odubiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881174654 PECOS PAC ID: 0749603496 Enrollment ID: I20220512000298 |
| Provider Name | Jordan Brown Sander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760039564 PECOS PAC ID: 3577941004 Enrollment ID: I20220611000433 |
| Provider Name | Nerisa Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700532272 PECOS PAC ID: 8820476435 Enrollment ID: I20220627000290 |
| Provider Name | Noelle K. Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518235324 PECOS PAC ID: 1052794625 Enrollment ID: I20220815000749 |
| Provider Name | Joseph Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770943128 PECOS PAC ID: 8628499332 Enrollment ID: I20220825000188 |
| Provider Name | Asia Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760088058 PECOS PAC ID: 1759765423 Enrollment ID: I20220829003808 |
| Provider Name | Tracy Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710635206 PECOS PAC ID: 0042694531 Enrollment ID: I20220901001340 |
| Provider Name | Judith Yehudis Wolofsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740565696 PECOS PAC ID: 4789803891 Enrollment ID: I20220929003623 |
| Provider Name | Leona Nobles-harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285280529 PECOS PAC ID: 5193159861 Enrollment ID: I20221006002167 |
| Provider Name | Janet Pierre-toussaint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851811764 PECOS PAC ID: 3971989328 Enrollment ID: I20221007002236 |
| Provider Name | Mary Ann Furphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336453018 PECOS PAC ID: 3173990603 Enrollment ID: I20221112000046 |
| Provider Name | Thomas Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467004622 PECOS PAC ID: 0345654463 Enrollment ID: I20221220000132 |
| Provider Name | Chad Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740690411 PECOS PAC ID: 3870971898 Enrollment ID: I20230130000548 |
| Provider Name | Alison Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285362905 PECOS PAC ID: 4385015239 Enrollment ID: I20230201000275 |
| Provider Name | Cristina Primerano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982061735 PECOS PAC ID: 2264852482 Enrollment ID: I20230202000128 |
| Provider Name | Marisa Pamela Savic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548875875 PECOS PAC ID: 4183036379 Enrollment ID: I20230203001886 |
| Provider Name | Lauren E Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740438480 PECOS PAC ID: 8729450341 Enrollment ID: I20230208001547 |
| Provider Name | Beatrice O Mebude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235862707 PECOS PAC ID: 3971975061 Enrollment ID: I20230220000637 |
| Provider Name | Erin Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528478096 PECOS PAC ID: 3476770207 Enrollment ID: I20230225000175 |
| Provider Name | Lisa Dipietropolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902534621 PECOS PAC ID: 2769857143 Enrollment ID: I20230418000036 |
| Provider Name | Jessie Kozmoski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356081533 PECOS PAC ID: 1456726710 Enrollment ID: I20230419000737 |
| Provider Name | Mary Pajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134617343 PECOS PAC ID: 6709241060 Enrollment ID: I20230420002992 |
| Provider Name | Kristen T Boyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639314222 PECOS PAC ID: 3072978170 Enrollment ID: I20230425000624 |
| Provider Name | Linda Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407132012 PECOS PAC ID: 1153786827 Enrollment ID: I20230502002084 |
| Provider Name | Najwa Driggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396223723 PECOS PAC ID: 1557727104 Enrollment ID: I20230524000418 |
| Provider Name | Angela Fucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164994679 PECOS PAC ID: 9234501511 Enrollment ID: I20230524001734 |
| Provider Name | Aisha Resha Mitchell Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336497791 PECOS PAC ID: 7315219615 Enrollment ID: I20230524001756 |
| Provider Name | Kim Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851383889 PECOS PAC ID: 7012335193 Enrollment ID: I20230530000070 |
| Provider Name | Mojisola Dabney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326736620 PECOS PAC ID: 9234307752 Enrollment ID: I20230601001038 |
| Provider Name | Coleen Marie Serzanin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548957962 PECOS PAC ID: 0749647618 Enrollment ID: I20230608000014 |
| Provider Name | Jenifer Yawger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497411656 PECOS PAC ID: 6406213305 Enrollment ID: I20230608001202 |
| Provider Name | Stacy Triumph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952846610 PECOS PAC ID: 7214394881 Enrollment ID: I20230613002359 |
| Provider Name | Sheriffa Gallwey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114065190 PECOS PAC ID: 5698957652 Enrollment ID: I20230621002338 |
| Provider Name | Adedoyin Kolawole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679271506 PECOS PAC ID: 4082072855 Enrollment ID: I20230627001007 |
| Provider Name | Cierra Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790271518 PECOS PAC ID: 3173940160 Enrollment ID: I20230712001634 |
| Provider Name | Victoria Waring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295959419 PECOS PAC ID: 2264845940 Enrollment ID: I20230712004721 |
| Provider Name | Michelle Shehadeh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598218745 PECOS PAC ID: 1254798853 Enrollment ID: I20230724001077 |
| Provider Name | Marrium Guirguis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639840119 PECOS PAC ID: 9032570742 Enrollment ID: I20230727003032 |
| Provider Name | Lindsey Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053667576 PECOS PAC ID: 2163883729 Enrollment ID: I20230728001069 |
| Provider Name | Wynda Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568941839 PECOS PAC ID: 9032575527 Enrollment ID: I20230731004084 |
| Provider Name | Richard G Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063747764 PECOS PAC ID: 3779954102 Enrollment ID: I20230808003853 |
| Provider Name | Clover Beauduy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366955239 PECOS PAC ID: 2062873144 Enrollment ID: I20230809000036 |
| Provider Name | Kimberly Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063946986 PECOS PAC ID: 7618339318 Enrollment ID: I20230811002473 |
| Provider Name | Felicia C Bates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760674634 PECOS PAC ID: 8527329127 Enrollment ID: I20230908001818 |
| Provider Name | Cynthia Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104475060 PECOS PAC ID: 9032573928 Enrollment ID: I20230911003570 |
| Provider Name | Patricia Susan D'angelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639804073 PECOS PAC ID: 0547508228 Enrollment ID: I20230912003575 |
| Provider Name | Herma D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871242776 PECOS PAC ID: 3678937943 Enrollment ID: I20230919004457 |
| Provider Name | Fquira Johannes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982942017 PECOS PAC ID: 4183024474 Enrollment ID: I20230930000207 |
| Provider Name | Knou Xiong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053900639 PECOS PAC ID: 6204241953 Enrollment ID: I20231005000233 |
| Provider Name | Debbie Chisolm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518120351 PECOS PAC ID: 7315392347 Enrollment ID: I20231011003506 |
| Provider Name | Elizabeth Chery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841646858 PECOS PAC ID: 4981937307 Enrollment ID: I20231020001994 |
| Provider Name | Amanda Hinchman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679287585 PECOS PAC ID: 8426404252 Enrollment ID: I20231030002912 |
| Provider Name | Qualiyah Arrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962945436 PECOS PAC ID: 9537515572 Enrollment ID: I20231102000601 |
| Provider Name | Ayodele Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598922866 PECOS PAC ID: 2365517471 Enrollment ID: I20231108004056 |
| Provider Name | Ceretha Hall-dyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396524724 PECOS PAC ID: 3476900234 Enrollment ID: I20231115003687 |
| Provider Name | Habiba Mzougui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922544147 PECOS PAC ID: 1456637578 Enrollment ID: I20231128003756 |
| Provider Name | Edward Acquah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356031751 PECOS PAC ID: 5395194146 Enrollment ID: I20231206000366 |
| Provider Name | Nichola Lydon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518591825 PECOS PAC ID: 8325497183 Enrollment ID: I20231206000584 |
| Provider Name | Ericca R Keith-scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417723354 PECOS PAC ID: 5597114108 Enrollment ID: I20231207003614 |
| Provider Name | Leo Onyekwere Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235856600 PECOS PAC ID: 5890144315 Enrollment ID: I20231209000357 |
| Provider Name | Oluchi Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699403287 PECOS PAC ID: 8123499647 Enrollment ID: I20231215000019 |
| Provider Name | Alexis Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225405541 PECOS PAC ID: 2062862923 Enrollment ID: I20231219002521 |
| Provider Name | Claudia Magdalena Brzoza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558944835 PECOS PAC ID: 6709236268 Enrollment ID: I20231222003186 |
| Provider Name | Jerome Scaturro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255990602 PECOS PAC ID: 1355791864 Enrollment ID: I20231226001213 |
| Provider Name | Jane Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396133831 PECOS PAC ID: 2668700386 Enrollment ID: I20240102001655 |
| Provider Name | Yenda Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225778178 PECOS PAC ID: 9830549906 Enrollment ID: I20240102002476 |
| Provider Name | Jessica Fleming |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205542677 PECOS PAC ID: 1557712312 Enrollment ID: I20240105003854 |
| Provider Name | Baktha Kumar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376242297 PECOS PAC ID: 0143671859 Enrollment ID: I20240108000434 |
| Provider Name | Natalie Grace Montaldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629403464 PECOS PAC ID: 7517300379 Enrollment ID: I20240208001637 |
| Provider Name | Helen Louise Raiani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164730115 PECOS PAC ID: 7012350499 Enrollment ID: I20240213002997 |
| Provider Name | Obinna Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659141273 PECOS PAC ID: 1557705944 Enrollment ID: I20240213003772 |
| Provider Name | Maureen Rena Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417691833 PECOS PAC ID: 9739523192 Enrollment ID: I20240214001168 |
| Provider Name | Sean Ferri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588440069 PECOS PAC ID: 7113370230 Enrollment ID: I20240214002970 |
| Provider Name | Hannah Sparks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134599020 PECOS PAC ID: 5395142426 Enrollment ID: I20240215000712 |
| Provider Name | Annabella Seabra Sollaccio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346763539 PECOS PAC ID: 2466868062 Enrollment ID: I20240215002448 |
| Provider Name | Matthew John Donohue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619686110 PECOS PAC ID: 1355785254 Enrollment ID: I20240220000253 |
| Provider Name | Daniel Richard Schwahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518669126 PECOS PAC ID: 6305280223 Enrollment ID: I20240229001330 |
| Provider Name | Nadira Keaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851638589 PECOS PAC ID: 5294171690 Enrollment ID: I20240307002528 |
| Provider Name | Iona Redmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578820957 PECOS PAC ID: 8022454438 Enrollment ID: I20240307002917 |
| Provider Name | Brenda Hardin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417043571 PECOS PAC ID: 9931380664 Enrollment ID: I20240308003187 |
| Provider Name | Elana Dorfman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306318761 PECOS PAC ID: 6305277112 Enrollment ID: I20240311000745 |
| Provider Name | Jessica Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114521549 PECOS PAC ID: 7416304100 Enrollment ID: I20240311001421 |
| Provider Name | Nakeeshia Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316308414 PECOS PAC ID: 5698157337 Enrollment ID: I20240311003752 |
| Provider Name | Stacy Csw St Louis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851690408 PECOS PAC ID: 8325409097 Enrollment ID: I20240312000035 |
| Provider Name | Lyn Rairdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922517317 PECOS PAC ID: 9436416138 Enrollment ID: I20240312000076 |
| Provider Name | Mabel M Castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104380849 PECOS PAC ID: 0244648392 Enrollment ID: I20240313002079 |
| Provider Name | Cynthia Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487140984 PECOS PAC ID: 5294180634 Enrollment ID: I20240319003526 |
| Provider Name | Nickolas B Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558645341 PECOS PAC ID: 4688901002 Enrollment ID: I20240319004075 |
| Provider Name | Brianne Giallanza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649655499 PECOS PAC ID: 1850702150 Enrollment ID: I20240320000921 |
| Provider Name | Victoria L Scerbo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801501242 PECOS PAC ID: 0840637278 Enrollment ID: I20240321001220 |
| Provider Name | Kimberly Mcgrady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083911945 PECOS PAC ID: 3779897707 Enrollment ID: I20240326000051 |
| Provider Name | Anah Ukpere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114695913 PECOS PAC ID: 8820468622 Enrollment ID: I20240326000962 |
| Provider Name | Colleen Ferenchak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558060012 PECOS PAC ID: 2466899455 Enrollment ID: I20240326003468 |
| Provider Name | Laura Damico |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699019109 PECOS PAC ID: 3173767175 Enrollment ID: I20240402001860 |
| Provider Name | Monica Zack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649841933 PECOS PAC ID: 2264870500 Enrollment ID: I20240405000041 |
| Provider Name | Michael Ham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154405389 PECOS PAC ID: 0446235949 Enrollment ID: I20240409003252 |
| Provider Name | Fatmata Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629353404 PECOS PAC ID: 4183062110 Enrollment ID: I20240409004192 |
| Provider Name | Christine M Bonavolante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235292210 PECOS PAC ID: 3678514197 Enrollment ID: I20240425003633 |
| Provider Name | Darlene Nicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952069551 PECOS PAC ID: 6507210176 Enrollment ID: I20240425004220 |
| Provider Name | Vanessa Doobay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689449548 PECOS PAC ID: 0749620615 Enrollment ID: I20240426000090 |
| Provider Name | Jason Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194085274 PECOS PAC ID: 0749615797 Enrollment ID: I20240426003376 |
| Provider Name | Lydia Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508380270 PECOS PAC ID: 9335502111 Enrollment ID: I20240426003522 |
| Provider Name | Sabrina Smith-hargroves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447497276 PECOS PAC ID: 7517307119 Enrollment ID: I20240430002102 |
| Provider Name | Luisa Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811665334 PECOS PAC ID: 8628416989 Enrollment ID: I20240501004110 |
| Provider Name | Tracy Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467202804 PECOS PAC ID: 7113367525 Enrollment ID: I20240502001870 |
| Provider Name | Sherrille Mckethan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245016302 PECOS PAC ID: 5890136865 Enrollment ID: I20240508004071 |
| Provider Name | Jocelyn Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578804944 PECOS PAC ID: 7911333257 Enrollment ID: I20240513000007 |
| Provider Name | Kristi Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801548821 PECOS PAC ID: 5496149908 Enrollment ID: I20240514000218 |
| Provider Name | Christina Kulp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427535764 PECOS PAC ID: 6103168729 Enrollment ID: I20240514004169 |
| Provider Name | Judith Weinberg Rosenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558631291 PECOS PAC ID: 3173964616 Enrollment ID: I20240514004294 |
| Provider Name | Kayla Hanley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437605953 PECOS PAC ID: 4981045200 Enrollment ID: I20240516002930 |
| Provider Name | Austin Giltus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033547930 PECOS PAC ID: 0749621068 Enrollment ID: I20240516003195 |
| Provider Name | Rosneylin Garrido-ortiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790475424 PECOS PAC ID: 4587006721 Enrollment ID: I20240520003320 |
| Provider Name | Natalie Velazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053168286 PECOS PAC ID: 1850733908 Enrollment ID: I20240521003951 |
| Provider Name | Kyri Menaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255106142 PECOS PAC ID: 3779925748 Enrollment ID: I20240522000630 |
| Provider Name | Irma Raquel Fiallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811676471 PECOS PAC ID: 0244672830 Enrollment ID: I20240529000193 |
| Provider Name | Karen Owen Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073844890 PECOS PAC ID: 8921440454 Enrollment ID: I20240529001889 |
| Provider Name | Kemisola L Ebietomiye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255102976 PECOS PAC ID: 7719322726 Enrollment ID: I20240530001793 |
| Provider Name | Susan Csw Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023024148 PECOS PAC ID: 3577748193 Enrollment ID: I20240531000030 |
| Provider Name | Sofia Makarenko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215795315 PECOS PAC ID: 5395287650 Enrollment ID: I20240603001726 |
| Provider Name | Lukresia B Kawira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932837788 PECOS PAC ID: 3971045410 Enrollment ID: I20240612000051 |
| Provider Name | Sara Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588116404 PECOS PAC ID: 8224571328 Enrollment ID: I20240618000535 |
| Provider Name | Carli Edling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417619560 PECOS PAC ID: 5698218410 Enrollment ID: I20240621001389 |
| Provider Name | Stephany Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508252305 PECOS PAC ID: 6709106610 Enrollment ID: I20240621002327 |
| Provider Name | Gabriele Schorb-machado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346393774 PECOS PAC ID: 1052768090 Enrollment ID: I20240625003275 |
| Provider Name | Nisha Saintelus-deratus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396344263 PECOS PAC ID: 5294171203 Enrollment ID: I20240625003491 |
| Provider Name | Elizabeth Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285380790 PECOS PAC ID: 3375087364 Enrollment ID: I20240701004147 |
| Provider Name | Jairo Orellana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437580362 PECOS PAC ID: 8729478516 Enrollment ID: I20240703004102 |
| Provider Name | Uchenna Joseph Ekeabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467225888 PECOS PAC ID: 8628414232 Enrollment ID: I20240715003654 |
| Provider Name | Joseph Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225697956 PECOS PAC ID: 4284968744 Enrollment ID: I20240716003164 |
| Provider Name | Stephany Piermattei |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073102448 PECOS PAC ID: 2163967951 Enrollment ID: I20240717000815 |
| Provider Name | Nkem Ani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205585841 PECOS PAC ID: 7618413279 Enrollment ID: I20240719001892 |
| Provider Name | Nadia Marcelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225776024 PECOS PAC ID: 2466998745 Enrollment ID: I20240723001669 |
| Provider Name | Emma Herman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932555414 PECOS PAC ID: 7810433117 Enrollment ID: I20240723002638 |
| Provider Name | Shira Deutsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518656131 PECOS PAC ID: 4385181064 Enrollment ID: I20240730003386 |
| Provider Name | Marie Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598338279 PECOS PAC ID: 9830636240 Enrollment ID: I20240802002536 |
| Provider Name | Melanie Gerald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396126991 PECOS PAC ID: 4789093998 Enrollment ID: I20240805003140 |
| Provider Name | Tracy Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457000424 PECOS PAC ID: 5799128583 Enrollment ID: I20240806002257 |
| Provider Name | Laura Michel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285935569 PECOS PAC ID: 2567909617 Enrollment ID: I20240806004732 |
| Provider Name | Marlena Boeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649965500 PECOS PAC ID: 0446797559 Enrollment ID: I20240807002700 |
| Provider Name | Denise Davis-moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699936120 PECOS PAC ID: 7618133349 Enrollment ID: I20240813000232 |
| Provider Name | Elizabeth Abramovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174205884 PECOS PAC ID: 5294273884 Enrollment ID: I20240814001046 |
| Provider Name | Tara Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578852844 PECOS PAC ID: 7517404502 Enrollment ID: I20240821000151 |
| Provider Name | Hannah Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063281129 PECOS PAC ID: 1850744897 Enrollment ID: I20240826000016 |
| Provider Name | Richard Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942347018 PECOS PAC ID: 5496293441 Enrollment ID: I20240830002365 |
| Provider Name | Ramona Wilkerson-holton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831423 PECOS PAC ID: 7517407620 Enrollment ID: I20240904001330 |
| Provider Name | Latoya Campos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447635750 PECOS PAC ID: 6608225529 Enrollment ID: I20240904004698 |
| Provider Name | Laura Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447701610 PECOS PAC ID: 2961941497 Enrollment ID: I20240905002106 |
| Provider Name | Munyaradz Rwakonda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316645484 PECOS PAC ID: 9032572458 Enrollment ID: I20240907000196 |
| Provider Name | Melissa Glenn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538615877 PECOS PAC ID: 1355881079 Enrollment ID: I20240911003833 |
| Provider Name | Nicole Bixler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578077715 PECOS PAC ID: 4880092147 Enrollment ID: I20240911004361 |
| Provider Name | Jacqueline Szoychen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356476006 PECOS PAC ID: 0244517274 Enrollment ID: I20240911004494 |
| Provider Name | Theresa Demichele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366280760 PECOS PAC ID: 7517407877 Enrollment ID: I20240912003826 |
| Provider Name | Rebecca Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295283885 PECOS PAC ID: 2961942230 Enrollment ID: I20240912004411 |
| Provider Name | Rachel Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700439072 PECOS PAC ID: 6002261195 Enrollment ID: I20240916000207 |
| Provider Name | Donald Hupp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568654242 PECOS PAC ID: 6507950201 Enrollment ID: I20240916002782 |
| Provider Name | Stephanie Fredericka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972074813 PECOS PAC ID: 2668913740 Enrollment ID: I20240917000021 |
| Provider Name | Kimberly Anne Saich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134533557 PECOS PAC ID: 3072054105 Enrollment ID: I20240917002167 |
| Provider Name | Meesha Chan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447611025 PECOS PAC ID: 0345780979 Enrollment ID: I20240917004943 |
| Provider Name | Evelyn A Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154164218 PECOS PAC ID: 6305387259 Enrollment ID: I20240919001561 |
| Provider Name | Barbara Darko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811586050 PECOS PAC ID: 7315478880 Enrollment ID: I20241008002736 |
| Provider Name | Tiffany Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205587292 PECOS PAC ID: 1052842432 Enrollment ID: I20241009003206 |
| Provider Name | Adetutu L Soneye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487013629 PECOS PAC ID: 2163954330 Enrollment ID: I20241011003549 |
| Provider Name | Bria Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003477365 PECOS PAC ID: 6406395714 Enrollment ID: I20241015002138 |
| Provider Name | Rachel Khan-mccroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871138792 PECOS PAC ID: 5395276935 Enrollment ID: I20241015002257 |
| Provider Name | Emmy Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376376459 PECOS PAC ID: 9436681392 Enrollment ID: I20241016002580 |
| Provider Name | Claire Thombs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679981393 PECOS PAC ID: 7517213754 Enrollment ID: I20241016003253 |
| Provider Name | Themistoklis Bakelas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033936265 PECOS PAC ID: 5395277073 Enrollment ID: I20241018002714 |
| Provider Name | Priscilla Liriano-tuftan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477702231 PECOS PAC ID: 8022540301 Enrollment ID: I20241021000265 |
| Provider Name | Andrea Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346997145 PECOS PAC ID: 3870037559 Enrollment ID: I20241021000988 |
| Provider Name | Yaakov Rabinowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184105827 PECOS PAC ID: 5496194680 Enrollment ID: I20241022000759 |
| Provider Name | Dave Oladoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740014356 PECOS PAC ID: 0446783765 Enrollment ID: I20241024004471 |
| Provider Name | Nicola Visaggio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730917683 PECOS PAC ID: 4183157373 Enrollment ID: I20241025003245 |
| Provider Name | Mellika George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710705850 PECOS PAC ID: 3072046283 Enrollment ID: I20241026000288 |
| Provider Name | Christina Valerio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164054995 PECOS PAC ID: 1658805502 Enrollment ID: I20241114001497 |
| Provider Name | Susie Tushingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871211961 PECOS PAC ID: 6507390200 Enrollment ID: I20241115003855 |
| Provider Name | Angeline Guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649092172 PECOS PAC ID: 0547794281 Enrollment ID: I20241118000587 |
| Provider Name | Jessica Canteen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669056131 PECOS PAC ID: 2365976032 Enrollment ID: I20241123000137 |
| Provider Name | Heather Brasseur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649570748 PECOS PAC ID: 8325573926 Enrollment ID: I20241125001365 |
| Provider Name | Nerlande Therlonge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992303051 PECOS PAC ID: 8729513908 Enrollment ID: I20241125002417 |
| Provider Name | Erin Hartung-ruane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275972861 PECOS PAC ID: 7315473147 Enrollment ID: I20241204000628 |
| Provider Name | Sherri Joswiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447430947 PECOS PAC ID: 1355756842 Enrollment ID: I20241206003639 |
| Provider Name | Imac Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447313911 PECOS PAC ID: 6507206042 Enrollment ID: I20241207000008 |
| Provider Name | Jennifer Maddox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295285112 PECOS PAC ID: 7719427111 Enrollment ID: I20241207000013 |
| Provider Name | Marian Mikhail |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265157911 PECOS PAC ID: 3870029390 Enrollment ID: I20241208000043 |
| Provider Name | Markesha Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235278607 PECOS PAC ID: 6002340890 Enrollment ID: I20241208000049 |
| Provider Name | Rachel Lorenzo-ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295463560 PECOS PAC ID: 3678007978 Enrollment ID: I20241209000010 |
| Provider Name | Alexandra Hanson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497316806 PECOS PAC ID: 0749716272 Enrollment ID: I20241209000086 |
| Provider Name | Lisa Gentry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386151801 PECOS PAC ID: 6608214846 Enrollment ID: I20241209001937 |
| Provider Name | Nzinga Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205304177 PECOS PAC ID: 2062946775 Enrollment ID: I20241209003538 |
| Provider Name | Susan White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447542154 PECOS PAC ID: 4880139773 Enrollment ID: I20241209003683 |
| Provider Name | Deana Duckenfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316297336 PECOS PAC ID: 0941648661 Enrollment ID: I20241210000065 |
| Provider Name | Jamilia James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588251292 PECOS PAC ID: 6901332345 Enrollment ID: I20241210000601 |
| Provider Name | Ebony Yelder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053885210 PECOS PAC ID: 1254876170 Enrollment ID: I20241210000689 |
| Provider Name | Hyunsook Maeng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881125235 PECOS PAC ID: 9335599323 Enrollment ID: I20241210000764 |
| Provider Name | Jennifer Renee Millar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093414104 PECOS PAC ID: 0143751511 Enrollment ID: I20241210001133 |
| Provider Name | Madison Knowles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346519931 PECOS PAC ID: 2264877489 Enrollment ID: I20241210001143 |
| Provider Name | Idil Gursoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194381426 PECOS PAC ID: 9133664816 Enrollment ID: I20241210001601 |
| Provider Name | Ephraim Tokar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538896857 PECOS PAC ID: 7517310741 Enrollment ID: I20241210001982 |
| Provider Name | Maria A Coyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508451196 PECOS PAC ID: 6709312077 Enrollment ID: I20241210002265 |
| Provider Name | Maria De La Alhambra Perez-fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588807648 PECOS PAC ID: 5092247866 Enrollment ID: I20241210002579 |
| Provider Name | Natasha Deshommes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710371349 PECOS PAC ID: 8729420872 Enrollment ID: I20241210002919 |
| Provider Name | Jamila Kase |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952157695 PECOS PAC ID: 8628517513 Enrollment ID: I20241210002929 |
| Provider Name | Summer Leigh Post |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902439102 PECOS PAC ID: 8921458498 Enrollment ID: I20241210003223 |
| Provider Name | Traci Lechwar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659955094 PECOS PAC ID: 7113453416 Enrollment ID: I20241210003411 |
| Provider Name | Shawndre Marie Leydon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013446194 PECOS PAC ID: 8820435621 Enrollment ID: I20241210003500 |
| Provider Name | Adrianna Alexandra Barber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962018143 PECOS PAC ID: 6608227749 Enrollment ID: I20241211001175 |
| Provider Name | Tamar Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639501760 PECOS PAC ID: 6103352869 Enrollment ID: I20241211003771 |
| Provider Name | Rukiya Bluford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992396527 PECOS PAC ID: 7214463439 Enrollment ID: I20241211003911 |
| Provider Name | Sairis Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750753315 PECOS PAC ID: 7315479557 Enrollment ID: I20241211004710 |
| Provider Name | Trina Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578991246 PECOS PAC ID: 9335530765 Enrollment ID: I20241212000286 |
| Provider Name | Deanna Mcpherson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326427865 PECOS PAC ID: 6103352257 Enrollment ID: I20241212000552 |
| Provider Name | Matthew Martin Sniscak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578181053 PECOS PAC ID: 3173059227 Enrollment ID: I20241212000676 |
| Provider Name | Ilona Giordano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073011367 PECOS PAC ID: 9830625904 Enrollment ID: I20241212001517 |
| Provider Name | Kayla Marie Savely |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952976235 PECOS PAC ID: 4183075237 Enrollment ID: I20241212004052 |
| Provider Name | Hillery C Ferdinand |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326317850 PECOS PAC ID: 3577906908 Enrollment ID: I20241213000200 |
| Provider Name | Kimberly Thurston-brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760172803 PECOS PAC ID: 4981130945 Enrollment ID: I20241213001568 |
| Provider Name | Kelly Elizabeth Szewczyk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104681543 PECOS PAC ID: 4082140926 Enrollment ID: I20241216001214 |
| Provider Name | Tracy Ellen Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255571006 PECOS PAC ID: 0547796435 Enrollment ID: I20241216003658 |
| Provider Name | Tiana Cash |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023683042 PECOS PAC ID: 3476098062 Enrollment ID: I20241217000382 |
| Provider Name | Kathryn P Tarpey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629215959 PECOS PAC ID: 6305373234 Enrollment ID: I20241217001691 |
| Provider Name | Lisa Csw Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497378269 PECOS PAC ID: 6709321276 Enrollment ID: I20241217001718 |
| Provider Name | Liat Rivka Segal Graber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477373934 PECOS PAC ID: 4284161142 Enrollment ID: I20241217002754 |
| Provider Name | Pattie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194588053 PECOS PAC ID: 7012444995 Enrollment ID: I20241217003689 |
| Provider Name | Marisol Arboleda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053182444 PECOS PAC ID: 1850828674 Enrollment ID: I20241218001293 |
| Provider Name | Ok Kim |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669227971 PECOS PAC ID: 3476088097 Enrollment ID: I20241218004406 |
| Provider Name | Gina Marie Pitocchelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886426 PECOS PAC ID: 3173753886 Enrollment ID: I20241219000621 |
| Provider Name | Lorraine Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780080374 PECOS PAC ID: 4385171099 Enrollment ID: I20241219000791 |
| Provider Name | Lucas Carsto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063886802 PECOS PAC ID: 4880121508 Enrollment ID: I20241219001555 |
| Provider Name | Janon Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790164622 PECOS PAC ID: 3072952860 Enrollment ID: I20241219004241 |
| Provider Name | Raquel V Cedeno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457885915 PECOS PAC ID: 1355878950 Enrollment ID: I20241220000700 |
| Provider Name | Diane Prosper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720570690 PECOS PAC ID: 5193252716 Enrollment ID: I20241220001501 |
| Provider Name | Jack Hazan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376022079 PECOS PAC ID: 1052758695 Enrollment ID: I20241220001876 |
| Provider Name | Christi C Renee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013280924 PECOS PAC ID: 8426585050 Enrollment ID: I20241220002203 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861829087 PECOS PAC ID: 7911434683 Enrollment ID: I20241220003846 |
| Provider Name | Melissa Rinker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083270425 PECOS PAC ID: 3173050648 Enrollment ID: I20241221000017 |
| Provider Name | Dominique Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083171862 PECOS PAC ID: 8123555695 Enrollment ID: I20241222000059 |
| Provider Name | Olushola Oyetokunboh Bakare |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598031031 PECOS PAC ID: 3173059458 Enrollment ID: I20241223000280 |
| Provider Name | Karina Barro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962709055 PECOS PAC ID: 9638551328 Enrollment ID: I20241223000681 |
| Provider Name | Matthew Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902645328 PECOS PAC ID: 9739616137 Enrollment ID: I20241226000231 |
| Provider Name | Victoria James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689937179 PECOS PAC ID: 0749717361 Enrollment ID: I20241227002688 |
| Provider Name | Robert Josiah Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609298991 PECOS PAC ID: 9234571894 Enrollment ID: I20241228000002 |
| Provider Name | Atiya Pope |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114544475 PECOS PAC ID: 6901333152 Enrollment ID: I20241230000815 |
| Provider Name | Errol Christopher Victory |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205577905 PECOS PAC ID: 6204363450 Enrollment ID: I20241230001119 |
| Provider Name | Minelba Luz Estrada-martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457933699 PECOS PAC ID: 7214464403 Enrollment ID: I20241230002573 |
| Provider Name | Satinder Kaur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376903278 PECOS PAC ID: 6002343043 Enrollment ID: I20250102002251 |
| Provider Name | Jessica J Hunckler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760819833 PECOS PAC ID: 9739617549 Enrollment ID: I20250107003460 |
| Provider Name | Bonnie D Grossman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023707288 PECOS PAC ID: 2264960970 Enrollment ID: I20250108004179 |
| Provider Name | Matthew Lowe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184848368 PECOS PAC ID: 7214067198 Enrollment ID: I20250109000129 |
| Provider Name | Christine Vaughan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528277894 PECOS PAC ID: 5193253748 Enrollment ID: I20250109002119 |
| Provider Name | Krystal Wymbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861943789 PECOS PAC ID: 2163950320 Enrollment ID: I20250115003069 |
| Provider Name | Brittany Suzanne Stark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912581562 PECOS PAC ID: 4789036823 Enrollment ID: I20250116000100 |
| Provider Name | Chinna Krystal Iheakaram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306502950 PECOS PAC ID: 9335677533 Enrollment ID: I20250116000360 |
| Provider Name | Constance Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033397096 PECOS PAC ID: 3870656481 Enrollment ID: I20250117001659 |
| Provider Name | Joseph M Sampson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477184372 PECOS PAC ID: 3870022973 Enrollment ID: I20250117002338 |
| Provider Name | Albert W Volk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386255982 PECOS PAC ID: 6507395522 Enrollment ID: I20250121001851 |
| Provider Name | Josephine Mixson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427441005 PECOS PAC ID: 7012446040 Enrollment ID: I20250121001993 |
| Provider Name | Francis Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578857298 PECOS PAC ID: 8628505039 Enrollment ID: I20250123002651 |
| Provider Name | Danica Gurdinak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548927775 PECOS PAC ID: 4486183142 Enrollment ID: I20250124000907 |
| Provider Name | Uzoma Ebisike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497578629 PECOS PAC ID: 6002345766 Enrollment ID: I20250124000979 |
| Provider Name | Otasowie Lillian Osaigbovo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083203046 PECOS PAC ID: 5698211597 Enrollment ID: I20250129000065 |
| Provider Name | Sarah Nitka |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639656549 PECOS PAC ID: 5092244426 Enrollment ID: I20250129002411 |
| Provider Name | Leydi Marcela Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548955271 PECOS PAC ID: 9436688793 Enrollment ID: I20250131000065 |
| Provider Name | Jennifer Wenonah Whitlock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720293210 PECOS PAC ID: 8325578503 Enrollment ID: I20250204002265 |
| Provider Name | Eileen Harte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104341221 PECOS PAC ID: 5294077376 Enrollment ID: I20250210000226 |
| Provider Name | Deborah Zollo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861203226 PECOS PAC ID: 7810427655 Enrollment ID: I20250210002294 |
| Provider Name | Amy Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134653215 PECOS PAC ID: 4587063011 Enrollment ID: I20250211000040 |
| Provider Name | Chinwe Sandra Ezeukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740994599 PECOS PAC ID: 8022548726 Enrollment ID: I20250211001452 |
| Provider Name | Deborah Max |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518786771 PECOS PAC ID: 7517490477 Enrollment ID: I20250211003342 |
| Provider Name | Lydia Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790402352 PECOS PAC ID: 3476097080 Enrollment ID: I20250212001308 |
| Provider Name | Kamlesh Mehrotra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346862463 PECOS PAC ID: 7719417195 Enrollment ID: I20250214000926 |
| Provider Name | Victoria Panna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194062372 PECOS PAC ID: 7810427127 Enrollment ID: I20250214002367 |
| Provider Name | Akosua Karikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447632765 PECOS PAC ID: 1759811037 Enrollment ID: I20250217001262 |
| Provider Name | Lillian Towner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962893826 PECOS PAC ID: 6002235322 Enrollment ID: I20250221002465 |
| Provider Name | Steven Ashmont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053081745 PECOS PAC ID: 4284154170 Enrollment ID: I20250221002654 |
| Provider Name | Paula A Hussein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295401933 PECOS PAC ID: 3870013634 Enrollment ID: I20250224001481 |
| Provider Name | Renee Riddell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356985832 PECOS PAC ID: 6709306301 Enrollment ID: I20250226002756 |
| Provider Name | Olabisi Fashuyi Fafore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841017944 PECOS PAC ID: 0244750792 Enrollment ID: I20250227000740 |
| Provider Name | Stacey Lear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699506709 PECOS PAC ID: 3779003256 Enrollment ID: I20250227001633 |
| Provider Name | Amie J Berlinski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750956678 PECOS PAC ID: 8527589753 Enrollment ID: I20250305000009 |
| Provider Name | La-toya Larke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760188080 PECOS PAC ID: 4082069463 Enrollment ID: I20250305003237 |
| Provider Name | Vanessa Albergo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205248994 PECOS PAC ID: 7618388356 Enrollment ID: I20250306003843 |
| Provider Name | Laura Beach |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1912358391 PECOS PAC ID: 1052832862 Enrollment ID: I20250310002446 |
| Provider Name | Sehnaz Zor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720347602 PECOS PAC ID: 8921529645 Enrollment ID: I20250310002931 |
| Provider Name | Alexander Michael Fromosky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659182681 PECOS PAC ID: 2769904044 Enrollment ID: I20250317000003 |
| Provider Name | Elizabeth Gwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164147773 PECOS PAC ID: 9133641137 Enrollment ID: I20250319002685 |
| Provider Name | Brianna Bernhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467040352 PECOS PAC ID: 9436682499 Enrollment ID: I20250321000021 |
| Provider Name | Andrea Evgeniou |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629655899 PECOS PAC ID: 6901328707 Enrollment ID: I20250321001090 |
| Provider Name | Cheryl Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356602734 PECOS PAC ID: 3678018116 Enrollment ID: I20250321001505 |
| Provider Name | Sonja Ann Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740720929 PECOS PAC ID: 2668995275 Enrollment ID: I20250325000354 |
| Provider Name | Anthony Lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881057578 PECOS PAC ID: 5890135644 Enrollment ID: I20250325002313 |
| Provider Name | Lana Ignatov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356028047 PECOS PAC ID: 9335589878 Enrollment ID: I20250326000374 |
| Provider Name | Lisa Wilkins-blount |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710605126 PECOS PAC ID: 7214477959 Enrollment ID: I20250326002547 |
| Provider Name | Alicyn Hennis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487692992 PECOS PAC ID: 2163963018 Enrollment ID: I20250326003101 |
| Provider Name | Latoya Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568874477 PECOS PAC ID: 3779921945 Enrollment ID: I20250326003256 |
| Provider Name | Lisette Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881164671 PECOS PAC ID: 0143743401 Enrollment ID: I20250327000161 |
| Provider Name | Sharon Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871925545 PECOS PAC ID: 5890924708 Enrollment ID: I20250328001282 |
| Provider Name | Megan Cannone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346566023 PECOS PAC ID: 8729437124 Enrollment ID: I20250401003032 |
| Provider Name | Louidine Joseph-scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437842929 PECOS PAC ID: 8325487945 Enrollment ID: I20250402000086 |
| Provider Name | Christina Pallotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467040477 PECOS PAC ID: 6204350622 Enrollment ID: I20250408000087 |
| Provider Name | Janet O Oludoyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346053774 PECOS PAC ID: 5294259586 Enrollment ID: I20250408002426 |
| Provider Name | Amanda Ferrogine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538729538 PECOS PAC ID: 8820512080 Enrollment ID: I20250409000812 |
| Provider Name | Amanda Scott |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1992151039 PECOS PAC ID: 3577087758 Enrollment ID: I20250409001346 |
| Provider Name | Michelina Depaoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285994533 PECOS PAC ID: 1759681513 Enrollment ID: I20250409001662 |
| Provider Name | Fennel Kpolie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811545627 PECOS PAC ID: 8224416060 Enrollment ID: I20250409001715 |
| Provider Name | Savitra Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740683614 PECOS PAC ID: 4981943420 Enrollment ID: I20250410002726 |
| Provider Name | Ayana Foluke Mckanney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508672049 PECOS PAC ID: 7315474434 Enrollment ID: I20250415000874 |
| Provider Name | Christie Debruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558315457 PECOS PAC ID: 8022495910 Enrollment ID: I20250415001835 |
| Provider Name | Henry Matthew Zupko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689308322 PECOS PAC ID: 9638694300 Enrollment ID: I20250416000615 |
| Provider Name | Alice Ironnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720831480 PECOS PAC ID: 3274058474 Enrollment ID: I20250421001865 |
| Provider Name | Adam Jimoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352634 PECOS PAC ID: 3577903897 Enrollment ID: I20250423001892 |
| Provider Name | Toshi Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174846877 PECOS PAC ID: 7719254317 Enrollment ID: I20250423002464 |
| Provider Name | Huma Raja |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477347375 PECOS PAC ID: 3678099256 Enrollment ID: I20250428000571 |
| Provider Name | Alyssa Beth Christman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760819908 PECOS PAC ID: 0345766937 Enrollment ID: I20250428000821 |
| Provider Name | Marlana Rose Cannata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730762220 PECOS PAC ID: 6204352461 Enrollment ID: I20250430001886 |
| Provider Name | Caren Levensohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700875689 PECOS PAC ID: 1759470131 Enrollment ID: I20250430003669 |
| Provider Name | Tiffany Milbourne-james |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801226147 PECOS PAC ID: 0840518908 Enrollment ID: I20250501001983 |
| Provider Name | Rachel Phelps |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972293918 PECOS PAC ID: 4880121185 Enrollment ID: I20250502002867 |
| Provider Name | Uloma Nzeduru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508638941 PECOS PAC ID: 8325565294 Enrollment ID: I20250505003333 |
| Provider Name | Padmini Singh Jagpal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164046066 PECOS PAC ID: 0244757961 Enrollment ID: I20250507000010 |
| Provider Name | Emily Sheera Collings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376091454 PECOS PAC ID: 9133646870 Enrollment ID: I20250507000400 |
| Provider Name | Courtney Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629470695 PECOS PAC ID: 0244757607 Enrollment ID: I20250508001987 |
| Provider Name | Brittany Lautzenheiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982075016 PECOS PAC ID: 0941688154 Enrollment ID: I20250509001192 |
| Provider Name | Tabitha Baldwin |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174723597 PECOS PAC ID: 5395985733 Enrollment ID: I20250509002793 |
| Provider Name | Denise Regina Warren-simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588172662 PECOS PAC ID: 1153849203 Enrollment ID: I20250513002607 |
| Provider Name | Benjamin Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801599261 PECOS PAC ID: 7416472907 Enrollment ID: I20250514000648 |
| Provider Name | Elizabeth Porfert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013395326 PECOS PAC ID: 1557707395 Enrollment ID: I20250514000738 |
| Provider Name | Gabrielle Cudemo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700358249 PECOS PAC ID: 6709304652 Enrollment ID: I20250515000677 |
| Provider Name | Henry Espinal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043877806 PECOS PAC ID: 1355874595 Enrollment ID: I20250516000036 |
| Provider Name | Arlene Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083207559 PECOS PAC ID: 2668990359 Enrollment ID: I20250516000623 |
| Provider Name | Shanique Slowley-azeez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528823325 PECOS PAC ID: 5799203287 Enrollment ID: I20250519001703 |
| Provider Name | Jeri Sprague |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669893640 PECOS PAC ID: 7315240462 Enrollment ID: I20250520004474 |
| Provider Name | Jonathan Michael Goelz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841072915 PECOS PAC ID: 3072031202 Enrollment ID: I20250521001771 |
| Provider Name | Terri Lynn Hoag |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477580504 PECOS PAC ID: 0042112880 Enrollment ID: I20250521003699 |
| Provider Name | Donna M Fontana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922754183 PECOS PAC ID: 3072032069 Enrollment ID: I20250522001426 |
| Provider Name | Stacey H Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104377274 PECOS PAC ID: 1759800741 Enrollment ID: I20250522001637 |
| Provider Name | Patrica Anne Chao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700671419 PECOS PAC ID: 2961921739 Enrollment ID: I20250523002439 |
| Provider Name | Asia M Bash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134823867 PECOS PAC ID: 8820517352 Enrollment ID: I20250528001079 |
| Provider Name | Libby Lorraine Black |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205987740 PECOS PAC ID: 8224557665 Enrollment ID: I20250531000172 |
| Provider Name | Miriam Gottlieb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710311022 PECOS PAC ID: 2062886302 Enrollment ID: I20250602000663 |
| Provider Name | Karen Muhammad |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841877560 PECOS PAC ID: 8224547286 Enrollment ID: I20250602001027 |
| Provider Name | Ademola Fawole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871080358 PECOS PAC ID: 7618216151 Enrollment ID: I20250602003005 |
| Provider Name | Varsha Pahwa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336800911 PECOS PAC ID: 5698119576 Enrollment ID: I20250603000473 |
| Provider Name | Adaora Gbanite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982462420 PECOS PAC ID: 5799209813 Enrollment ID: I20250603001457 |
| Provider Name | Nabintou Bakayoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336477389 PECOS PAC ID: 1951654367 Enrollment ID: I20250603004448 |
| Provider Name | Tairah Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144024944 PECOS PAC ID: 0244749802 Enrollment ID: I20250604001904 |
| Provider Name | Viva L White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023307600 PECOS PAC ID: 0345759874 Enrollment ID: I20250604003778 |
| Provider Name | Emma Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073135091 PECOS PAC ID: 3476931940 Enrollment ID: I20250604004139 |
| Provider Name | Latisha Mhc Mcwilliams-mosley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467992735 PECOS PAC ID: 6002350782 Enrollment ID: I20250605000711 |
| Provider Name | Latoya S King Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174332738 PECOS PAC ID: 9537678917 Enrollment ID: I20250605002072 |
| Provider Name | Tracey Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538222468 PECOS PAC ID: 2668919036 Enrollment ID: I20250609001559 |
| Provider Name | Solande Destin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942021324 PECOS PAC ID: 3971013921 Enrollment ID: I20250609002037 |
| Provider Name | Michele Louise Leader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033235460 PECOS PAC ID: 4789909631 Enrollment ID: I20250611001011 |
| Provider Name | Barbara Farrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609227941 PECOS PAC ID: 3779093414 Enrollment ID: I20250611001066 |
| Provider Name | Edna Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124386107 PECOS PAC ID: 4082876040 Enrollment ID: I20250612000159 |
Gordon & Behar Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield St, Suite 118, Hoboken, NJ 07030 Phone: 201-963-9300 | |
Counseling And Wellness Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 7th St., Ll5, Hoboken, NJ 07030 Phone: 866-369-1090 Fax: 866-369-2140 | |
Humc Opco Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 201-418-1000 Fax: 201-418-1053 | |
Only For Light Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Harrison St Ste 209b, Hoboken, NJ 07030 Phone: 551-998-9046 | |
Park Avenue Psychotherapy Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 River St Ste 9, Hoboken, NJ 07030 Phone: 917-334-6069 | |
Paula Diaz Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 Bloomfield St, Suite # 121, Hoboken, NJ 07030 Phone: 201-420-7646 Fax: 201-420-7647 | |
Family Behavioral Health Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Willow Ave, Hoboken, NJ 07030 Phone: 201-925-2699 |