Dr Maria Connie Pandolfi, | |
1001 City Ave Unit Wa804, Wynnewood, PA 19096-3939 | |
(646) 981-7059 | |
(610) 206-3785 |
Full Name | Dr Maria Connie Pandolfi |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1001 City Ave Unit Wa804, Wynnewood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235595943 | NPI | - | NPPES |
018344400 | Medicaid | FL | |
IO401A | Other | FL | MEDICARE PTAN GRP |
IO402Z | Other | FL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW6295 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | CW018917 (Pennsylvania) | Primary |
Entity Name | Pandolfi Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285097659 PECOS PAC ID: 1557651684 Enrollment ID: O20161115001639 |
Mailing Address | Practice Location Address |
---|---|
Dr Maria Connie Pandolfi, 1001 City Ave Unit Wa804, Wynnewood, PA 19096-3939 Ph: (215) 834-3733 | Dr Maria Connie Pandolfi, 1001 City Ave Unit Wa804, Wynnewood, PA 19096-3939 Ph: (646) 981-7059 |
Karen Reynolds Hires, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 E Wynnewood Rd, Suite 100, Wynnewood, PA 19096 Phone: 610-642-8890 Fax: 610-642-8986 | |
Tracey B Ellenbogen, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 E Lancaster Ave, Suite 207, Wynnewood, PA 19096 Phone: 610-457-6361 | |
Mark Douglas Whiteman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 E Wynnewood Rd, Suite 100, Wynnewood, PA 19096 Phone: 610-642-8890 | |
Tracey Holder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste B-11, Wynnewood, PA 19096 Phone: 484-476-2658 | |
Lynn Friedman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Rock Glen Rd, Wynnewood, PA 19096 Phone: 610-896-8528 | |
Karie Elizabeth Melton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 250 E Wynnewood Rd E12, Wynnewood, PA 19096 Phone: 215-356-6599 |