Michelle Fuentes, | |
3249 Kingsbridge Ave, Bronx, NY 10463-5514 | |
(917) 969-2445 | |
Not Available |
Full Name | Michelle Fuentes |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 3249 Kingsbridge Ave, Bronx, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104292473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 088157 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Footprints Mental Health Counseling, P. C. | 2163836370 | 7 |
Footprints Mental Health Counseling, P. C. | 2163836370 | 7 |
Entity Name | Footprints Mental Health Counseling, P. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033724414 PECOS PAC ID: 2163836370 Enrollment ID: O20210409000136 |
Mailing Address | Practice Location Address |
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Michelle Fuentes, 3249 Kingsbridge Ave, Bronx, NY 10463-5514 Ph: (917) 969-2445 | Michelle Fuentes, 3249 Kingsbridge Ave, Bronx, NY 10463-5514 Ph: (917) 969-2445 |
Ms. Ann Marie Gargiulo, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Fordham Plz, Bronx, NY 10458 Phone: 718-405-4400 | |
Ms. Sharon Rose Wade, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1910 Arthur Ave, Bronx, NY 10457 Phone: 718-466-8657 Fax: 718-716-4885 | |
Ms. Iris Rivera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 E 167th St, Bronx, NY 10456 Phone: 718-579-7313 Fax: 718-579-7356 | |
Mr. Orlando Bosch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1276 Fulton Ave, Bronx, NY 10456 Phone: 718-901-8010 | |
Loida Luisa Reyes-rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1650 Grand Concourse Ave, Bronx, NY 10457 Phone: 718-518-5041 | |
Sima Alexandra Lichtschein, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 85 W Burnside Ave, Bronx, NY 10453 Phone: 718-483-1270 | |
Zuleyka A Grullon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 718-579-5000 |