Laura Fanning, LCSW | |
21 E 2nd St Ste 102, Riverhead, NY 11901-4686 | |
(631) 682-7495 | |
Not Available |
Full Name | Laura Fanning |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 21 E 2nd St Ste 102, Riverhead, 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 |
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1922421791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 090447 (New York) | Primary |
Entity Name | Catholic Charities Of The Diocese Of Rockville Centre |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124034558 PECOS PAC ID: 9436137908 Enrollment ID: O20040721000332 |
Mailing Address | Practice Location Address |
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Laura Fanning, LCSW 21 E 2nd St Ste 102, Riverhead, NY 11901-4686 Ph: (631) 682-7495 | Laura Fanning, LCSW 21 E 2nd St Ste 102, Riverhead, NY 11901-4686 Ph: (631) 682-7495 |
Mr. Thomas F Livoti, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Longneck Blvd, Riverhead, NY 11901 Phone: 631-348-2754 Fax: 631-369-6180 | |
Ms. Eileen Mangino, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21 W 2nd St, Riverhead, NY 11901 Phone: 631-495-0372 | |
Shannon Walsh Kutner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 147 Northern Pkwy, Riverhead, NY 11901 Phone: 631-921-6611 | |
Ms. Celeste Gneco-vasquez, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 Osborne Avenue, Riverhead Central School District, Riverhead, NY 11901 Phone: 631-369-6701 | |
Mrs. Marylou Sosnowski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 298 Middle Rd, Riverhead, NY 11901 Phone: 631-369-1234 Fax: 631-369-0130 | |
Nella Hahn, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 500 Pleasure Dr, Riverhead, NY 11901 Phone: 631-603-8388 Fax: 631-369-9819 | |
Mrs. Maryann C Lieberman, RLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 193 Griffing Ave, St A, Riverhead, NY 11901 Phone: 631-727-7225 Fax: 631-727-4034 |