Ms Melissa Coyle, LCSW-R | |
107 Pond Path, Lake Grove, NY 11755 | |
(631) 988-8656 | |
Not Available |
Full Name | Ms Melissa Coyle |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 107 Pond Path, Lake Grove, 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 |
---|---|---|---|
1528190212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 073624 (New York) | Primary |
Entity Name | Senior Living Behavioral Health Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083150056 PECOS PAC ID: 9931482247 Enrollment ID: O20170213000455 |
Mailing Address | Practice Location Address |
---|---|
Ms Melissa Coyle, LCSW-R 107 Pond Path, Lake Grove, NY 11755 Ph: (631) 988-8656 | Ms Melissa Coyle, LCSW-R 107 Pond Path, Lake Grove, NY 11755 Ph: (631) 988-8656 |
Ms. Jennifer Fazio, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2233 Nesconset Hwy, Suite 104, Lake Grove, NY 11755 Phone: 631-737-5559 Fax: 631-737-0001 | |
Mario Brajuha, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy, Lake Grove, NY 11755 Phone: 631-737-5559 Fax: 631-737-0001 | |
Angie Pashalis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy Ste 104, Lake Grove, NY 11755 Phone: 631-737-5559 Fax: 631-737-0001 | |
Ms. Giuditta D Esposito, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Sycamore Ave, Lake Grove, NY 11755 Phone: 631-676-5808 | |
Seth Chandler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy Ste 201, Lake Grove, NY 11755 Phone: 631-603-8518 | |
Mr. Joseph B. Mccarthy, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2780 Middle Country Rd, Suite 306, Lake Grove, NY 11755 Phone: 631-764-5591 |