Ms Debra Jean Washington, LCSW | |
9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 | |
(718) 896-3400 | |
(718) 459-5621 |
Full Name | Ms Debra Jean Washington |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9131 Queens Blvd Ste 222, Elmhurst, 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 |
---|---|---|---|
1225353931 | NPI | - | NPPES |
00244019 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 090115-01 (New York) | Primary |
Entity Name | Long Island Consultation Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295878577 PECOS PAC ID: 8729068622 Enrollment ID: O20040721001568 |
Mailing Address | Practice Location Address |
---|---|
Ms Debra Jean Washington, LCSW 17520 Wexford Ter Apt 4u, Jamaica, NY 11432-2838 Ph: (718) 593-0794 | Ms Debra Jean Washington, LCSW 9131 Queens Blvd Ste 222, Elmhurst, NY 11373-5511 Ph: (718) 896-3400 |
Josh Kleinmuntz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2650 | |
Miss Mary Caldwell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958 | |
Ms. Meghana R Sawant, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8114 Queens Blvd, First Floor, Elmhurst, NY 11373 Phone: 718-899-9810 Fax: 718-899-9699 | |
Maria S Fontana, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D1-01, Elmhurst, NY 11373 Phone: 718-334-3826 Fax: 718-334-5006 | |
Yi Zhang, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7901 Broadway, H Building # 3-107, Elmhurst, NY 11373 Phone: 718-334-3984 | |
Danielle Epstein, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3830 | |
Talia Liebman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2650 |