Ms Michelle Lauren Dietrich, LCSW | |
1375 Akron St, Copiague, NY 11726-2931 | |
(631) 552-4240 | |
Not Available |
Full Name | Ms Michelle Lauren Dietrich |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1375 Akron St, Copiague, 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 |
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1013387299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 089967 (New York) | Primary |
Entity Name | Central Nassau Guidance & Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114928462 PECOS PAC ID: 6406747401 Enrollment ID: O20040322000050 |
Entity Name | Federation Of Organizations For The Ny State Mentally Disabled, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346433307 PECOS PAC ID: 6800823782 Enrollment ID: O20050721001040 |
Mailing Address | Practice Location Address |
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Ms Michelle Lauren Dietrich, LCSW 1 Farmingdale Road, West Babylon, NY 11704 Ph: () - | Ms Michelle Lauren Dietrich, LCSW 1375 Akron St, Copiague, NY 11726-2931 Ph: (631) 552-4240 |
Mrs. Edwina Callender, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-691-3387 | |
Mrs. Greer Julien Slovin, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-691-3387 | |
Miskennelove Losses, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-257-5173 | |
Brittney Ashley Mcpherson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-257-5173 | |
Ms. Constance M Kash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 910 Montauk Hwy, Copiague, NY 11726 Phone: 631-332-9534 Fax: 516-755-3575 | |
Mr. Joseph Michael O'leary, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 445 Oak St, Copiague, NY 11726 Phone: 631-691-7080 Fax: 631-692-3387 |