Magnolia Goman, LCSW | |
50 W Hawthorne Ave, #3, Valley Stream, NY 11580-6220 | |
(516) 569-6600 | |
Not Available |
Full Name | Magnolia Goman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 50 W Hawthorne Ave, Valley Stream, 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 |
---|---|---|---|
1932555208 | NPI | - | NPPES |
W225545927 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 089609-01 (New York) | Primary |
Entity Name | Che Senior Psychological Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429 |
Entity Name | Psychological Health Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760 |
Entity Name | New Horizon Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366430563 PECOS PAC ID: 4880681295 Enrollment ID: O20040428000452 |
Mailing Address | Practice Location Address |
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Magnolia Goman, LCSW 275 Marlin St, Dix Hills, NY 11746-8130 Ph: (646) 416-3203 | Magnolia Goman, LCSW 50 W Hawthorne Ave, #3, Valley Stream, NY 11580-6220 Ph: (516) 569-6600 |
Heather Hugelmeyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 S Central Ave, Valley Stream, NY 11580 Phone: 516-872-9698 | |
Michelle Scantlebury, LCSWR, CASAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 21 Georgia St, Valley Stream, NY 11580 Phone: 718-415-2678 | |
Stacey Rizzuto, LCSWR Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Sylvan Pl Apt 1b, Valley Stream, NY 11581 Phone: 516-837-9670 | |
Nelson Rothstein, MSW, CASAC-T Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 W Hawthorne Ave, Valley Stream, NY 11580 Phone: 516-569-6600 | |
Mr. Joseph Angelo Santigate, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 50 W Hawthorne Ave Fl 2, Valley Stream, NY 11580 Phone: 516-404-5848 | |
Ms. Marie Nirva Renelus, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1229 Dutch Broadway, Valley Stream, NY 11580 Phone: 917-324-0011 | |
Karen Herrmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 699 Golf Dr, Valley Stream, NY 11581 Phone: 516-660-9505 |