Mrs Irene P Korolczuk, LCSW R | |
29 Northgate Dr, Greenlawn, NY 11740-2312 | |
(631) 271-0913 | |
(631) 261-3250 |
Full Name | Mrs Irene P Korolczuk |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 29 Northgate Dr, Greenlawn, 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 |
---|---|---|---|
1104963982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | RO36795 (New York) | Primary |
Entity Name | Living Waters Lcsw Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780856062 PECOS PAC ID: 7719032606 Enrollment ID: O20090828000023 |
Mailing Address | Practice Location Address |
---|---|
Mrs Irene P Korolczuk, LCSW R 29 Northgate Dr, Greenlawn, NY 11740-2312 Ph: (631) 271-0913 | Mrs Irene P Korolczuk, LCSW R 29 Northgate Dr, Greenlawn, NY 11740-2312 Ph: (631) 271-0913 |
Robert Clock, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 29 Northgate Dr, Greenlawn, NY 11740 Phone: 631-271-0913 Fax: 631-261-3250 | |
Rachel Siegel-joffe, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 18 Kipling Dr, Greenlawn, NY 11740 Phone: 917-916-9970 | |
Ms. Elaine Alison Gilmartin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8 Hendrie Ln, Greenlawn, NY 11740 Phone: 631-754-3172 Fax: 631-239-1447 | |
Janice F Driscoll, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 29 Northgate Dr, Greenlawn, NY 11740 Phone: 631-271-0913 Fax: 631-261-3250 | |
Ms. Ann Marie Champney, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 91 Broadway # 101, Suite 6, Greenlawn, NY 11740 Phone: 516-617-8250 | |
Ms. Jeanette M. Richardt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Frazer Dr, Greenlawn, NY 11740 Phone: 201-394-9244 |