| Sage Wellness Center Llc | |
|
1901 Lakewood Rd Ste 200 Toms River NJ 08755-1211 | |
| (732) 505-4612 | |
| (732) 505-4671 |
| Full Name | Sage Wellness Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1901 Lakewood Rd Ste 200, Toms River, New Jersey |
| Authorized Official Name and Position | Kimberly Mcelwee (LCSW) |
| Authorized Official Contact | 7325054612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Wellness Center Llc 1901 Lakewood Rd Ste 200 Toms River NJ 08755-1211 Ph: (732) 505-4612 | Sage Wellness Center Llc 1901 Lakewood Rd Ste 200 Toms River NJ 08755-1211 Ph: (732) 505-4612 |
| NPI Number | 1669837811 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 8729386370 |
|---|---|
| Medicare Enrollment ID | O20160414000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669837811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SCO5518900 (New Jersey) | Primary |
| Provider Name | Gladys F Mari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487700621 PECOS PAC ID: 3678538857 Enrollment ID: I20041130000281 |
| Provider Name | Kimberly A Mcelwee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992057632 PECOS PAC ID: 7911120357 Enrollment ID: I20140603001575 |
| Provider Name | Loretta Oguonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528497641 PECOS PAC ID: 5991022105 Enrollment ID: I20150327001729 |
| Provider Name | Courtney Np Wuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326593286 PECOS PAC ID: 0941589790 Enrollment ID: I20161117002571 |
| Provider Name | Shanna Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306350590 PECOS PAC ID: 8527329028 Enrollment ID: I20180226000636 |
| Provider Name | Obinna Ezealor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487164190 PECOS PAC ID: 8426319658 Enrollment ID: I20180302000322 |
| Provider Name | Jamie Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952746349 PECOS PAC ID: 5890177448 Enrollment ID: I20220729001567 |
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