Franc John Libihoul, LCSW | |
319 Broadway, Port Ewen, NY 12466 | |
(845) 339-8707 | |
(845) 339-2610 |
Full Name | Franc John Libihoul |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 319 Broadway, Port Ewen, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669555439 | NPI | - | NPPES |
01420795 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 037837-R (New York) | Primary |
Entity Name | Grunblatt Psychology And Counseling Offices Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730325531 PECOS PAC ID: 0143406827 Enrollment ID: O20110513000188 |
Mailing Address | Practice Location Address |
---|---|
Franc John Libihoul, LCSW 124 Green St, Kingston, NY 12401-4422 Ph: (845) 331-3001 | Franc John Libihoul, LCSW 319 Broadway, Port Ewen, NY 12466 Ph: (845) 339-8707 |
Mr. William Latimer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 243 Bayard Street Box #724, Port Ewen, NY 12466 Phone: 646-249-5767 | |
Jill Borner, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 319 Broadway, Port Ewen, NY 12466 Phone: 845-339-8707 Fax: 845-339-8740 | |
Ms. Amy Kate Silvestro, LCSW- R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 319 Broadway, Port Ewen, NY 12466 Phone: 845-399-8707 |