| Soar | |
|
405 Foulk Rd Wilmington DE 19803-3809 | |
| (302) 655-3953 | |
| (302) 655-1149 |
| Full Name | Soar |
|---|---|
| Speciality | Social Worker |
| Location | 405 Foulk Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Valerie C Marek (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3026553953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar 405 Foulk Rd Wilmington DE 19803-3809 Ph: (302) 655-3953 | Soar 405 Foulk Rd Wilmington DE 19803-3809 Ph: (302) 655-3953 |
| NPI Number | 1154386696 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1850294067 |
|---|---|
| Medicare Enrollment ID | O20040127000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154386696 | NPI | - | NPPES |
| 1000025878 | Medicaid | DE |
| Provider Name | Valerie C Marek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154386779 PECOS PAC ID: 3375446594 Enrollment ID: I20040127000861 |
| Provider Name | Constance Deptula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306034814 PECOS PAC ID: 2365522836 Enrollment ID: I20090106000246 |
| Provider Name | Stephen C Dijulio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518925619 PECOS PAC ID: 6507026598 Enrollment ID: I20120329000094 |
| Provider Name | Rebecca L Zenkert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538461801 PECOS PAC ID: 9537390380 Enrollment ID: I20140320001720 |
| Provider Name | Katharine Newquist Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124460043 PECOS PAC ID: 7214170711 Enrollment ID: I20151201000479 |
| Provider Name | Berkeley R Harbour |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316477631 PECOS PAC ID: 5799055687 Enrollment ID: I20170726001225 |
| Provider Name | Mary M Rezac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962411728 PECOS PAC ID: 5698045409 Enrollment ID: I20170726002192 |
| Provider Name | Anna Maria E Marcelin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346707551 PECOS PAC ID: 3870833882 Enrollment ID: I20190328001430 |
| Provider Name | Mone't Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699333195 PECOS PAC ID: 2961829098 Enrollment ID: I20200903000513 |
| Provider Name | Maidah Khalid-janney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538313242 PECOS PAC ID: 0648665828 Enrollment ID: I20220325000796 |
| Provider Name | Kyle Hitchens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982225116 PECOS PAC ID: 8820476948 Enrollment ID: I20220602000149 |
| Provider Name | Jessica Legrande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740944800 PECOS PAC ID: 3072978675 Enrollment ID: I20230504001396 |
| Provider Name | Nicole Dallas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306522578 PECOS PAC ID: 1759745235 Enrollment ID: I20230918000393 |
| Provider Name | Karynna Bequette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801579727 PECOS PAC ID: 0143674630 Enrollment ID: I20231003000828 |
| Provider Name | Shirley Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417389818 PECOS PAC ID: 4082067293 Enrollment ID: I20240124001371 |
| Provider Name | Barbara Conrad |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194735548 PECOS PAC ID: 1759734890 Enrollment ID: I20240125001170 |
| Provider Name | Jessica Gumienny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497527998 PECOS PAC ID: 0941653000 Enrollment ID: I20240125001885 |
| Provider Name | Anah Galloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578176459 PECOS PAC ID: 5799138764 Enrollment ID: I20240125002516 |
| Provider Name | Heather Mcgonigle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255842241 PECOS PAC ID: 8729431374 Enrollment ID: I20240130002857 |
| Provider Name | Stephanie Criss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447750955 PECOS PAC ID: 0547613002 Enrollment ID: I20240131003129 |
| Provider Name | Ashley Santana |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336603091 PECOS PAC ID: 4789037243 Enrollment ID: I20240131003288 |
| Provider Name | Daniel Cherneski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1194004242 PECOS PAC ID: 0547613010 Enrollment ID: I20240131003483 |
| Provider Name | Christine Copelin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669073771 PECOS PAC ID: 2365895620 Enrollment ID: I20240202000948 |
| Provider Name | Jennifer Caplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992426548 PECOS PAC ID: 5395188650 Enrollment ID: I20240205000329 |
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