Matthew Desrosiers, LCSW | |
32 Broadway, Suite 200, New York, NY 10004-1609 | |
(212) 951-6866 | |
Not Available |
Full Name | Matthew Desrosiers |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 32 Broadway, New York, 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 |
---|---|---|---|
1104295344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09929397 (Colorado) | Primary |
1041C0700X | Social Worker - Clinical | 090921 (New York) | Secondary |
Entity Name | University Physicians Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
Mailing Address | Practice Location Address |
---|---|
Matthew Desrosiers, LCSW Po Box 110429, Aurora, CO 80042-0429 Ph: () - | Matthew Desrosiers, LCSW 32 Broadway, Suite 200, New York, NY 10004-1609 Ph: (212) 951-6866 |
Mr. Robert Diamond, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 271 Madison Ave Ste 1102, New York, NY 10016 Phone: 212-740-3689 | |
Dr. Carole Avon Patterson, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 W 12th St, Reiss 4th Floor, New York, NY 10011 Phone: 212-604-8441 | |
Ms. Maureen Theresa Sheehan, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 853 Broadway, Suite 1201, New York, NY 10003 Phone: 646-266-8712 | |
Ms. Debra Roth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 University Pl, 2nd Floor, New York, NY 10003 Phone: 212-352-8282 | |
Ms. Antonia Depalma-brandt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 5th Ave, Suite 508, New York, NY 10010 Phone: 212-714-4539 | |
Ms. Alvita Liktorius, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 5th Ave, Ground Floor Suite, New York, NY 10011 Phone: 212-529-3768 | |
Jocelyn Reeve Childs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1841 Broadway, 4th Fl, New York, NY 10023 Phone: 212-333-3444 |