Mr Stacy Moraldo, LMSW | |
107 West 4th Street, Mount Vernon, NY 10550 | |
(914) 699-7200 | |
(914) 699-0837 |
Full Name | Mr Stacy Moraldo |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 107 West 4th Street, Mount Vernon, 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 |
---|---|---|---|
1659575322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 076119 (New York) | Primary |
Entity Name | Mount Vernon Neighborhood Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295912541 PECOS PAC ID: 0345139671 Enrollment ID: O20040313000345 |
Mailing Address | Practice Location Address |
---|---|
Mr Stacy Moraldo, LMSW 107 West 4th Street, Mount Vernon, NY 10550 Ph: (914) 699-7200 | Mr Stacy Moraldo, LMSW 107 West 4th Street, Mount Vernon, NY 10550 Ph: (914) 699-7200 |
Mr. Bernard Murrell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 W Prospect Ave, Suite # 309, Mount Vernon, NY 10550 Phone: 914-668-9124 Fax: 914-668-0940 | |
Mrs. Cleopatra Williams, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 West Prospect Ave, Suite 309, Mount Vernon, NY 10552 Phone: 914-668-9124 | |
Mr. William J. Wertheim, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Sycamore Ave, Mount Vernon, NY 10553 Phone: 914-664-5681 Fax: 914-664-6591 | |
Mr. Edwin Rodriguez, LCSW, CASAC-G Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 Broad St W Apt 6m, Mount Vernon, NY 10552 Phone: 914-882-8383 Fax: 914-699-5727 | |
Tanya Dawson, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Hayward Ave Apt 4g, Mount Vernon, NY 10552 Phone: 718-839-7159 | |
Miss Meisha Daley, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 37 S 10th Ave, Mount Vernon, NY 10550 Phone: 914-837-5768 | |
Ms. Adrienne E Cooke, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 E 1st St, 7th Floor, Mount Vernon, NY 10550 Phone: 914-813-6220 |