Joanne Theresa Walters, LCSW | |
585 Albany Ave, 147, Amityville, NY 11701-1169 | |
(631) 608-9142 | |
Not Available |
Full Name | Joanne Theresa Walters |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 585 Albany Ave, Amityville, 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 |
---|---|---|---|
1629140082 | NPI | - | NPPES |
00244817 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 035986 (New York) | Primary |
Entity Name | Peninsula Counseling Center,inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437262839 PECOS PAC ID: 2668361353 Enrollment ID: O20040311000882 |
Mailing Address | Practice Location Address |
---|---|
Joanne Theresa Walters, LCSW 585 Albany Ave, 147, Amityville, NY 11701-1169 Ph: (631) 608-9142 | Joanne Theresa Walters, LCSW 585 Albany Ave, 147, Amityville, NY 11701-1169 Ph: (631) 608-9142 |
Jennifer Riley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Broadway 7, Amityville, NY 11701 Phone: 516-761-0414 | |
Jacqueline Rosario, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 118 Kenneth Ct, Amityville, NY 11701 Phone: 718-926-8550 | |
Miss Theresa Valerie Eads, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Sunrise Hwy, Amityville, NY 11701 Phone: 631-608-5308 Fax: 631-608-5264 | |
Dawn Marie Brennan Tesoro, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Dixon Ave, Amityville, NY 11701 Phone: 631-782-6503 | |
Judith Kitzes, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Dowsing Pl, Amityville, NY 11701 Phone: 631-598-0147 Fax: 631-598-4823 | |
Ms. Shirley Eason Cole, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 835 Broadway, Amityville, NY 11701 Phone: 631-245-7392 Fax: 631-608-5261 | |
Ms. Agnes Magdalena Ammirati, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Dixon Ave, Amityville, NY 11701 Phone: 631-782-6536 Fax: 631-842-7977 |