Ms Samara Crofton Harris, LCSW | |
6729 Myrtle Ave, Glendale, NY 11385-7063 | |
(718) 456-7001 | |
Not Available |
Full Name | Ms Samara Crofton Harris |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6729 Myrtle Ave, Glendale, 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 |
---|---|---|---|
1801161609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 079345 (New York) | Primary |
Entity Name | Jewish Board Of Family & Childrens Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048 |
Entity Name | Brooklyn Psychotherapy Lcsw Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134788540 PECOS PAC ID: 5991031833 Enrollment ID: O20190730002128 |
Mailing Address | Practice Location Address |
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Ms Samara Crofton Harris, LCSW 11217 75th Ave, 3rd Floor, Forest Hills, NY 11375-5558 Ph: (917) 349-3311 | Ms Samara Crofton Harris, LCSW 6729 Myrtle Ave, Glendale, NY 11385-7063 Ph: (718) 456-7001 |
Tanya Michelle Clarke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6729 Myrtle Ave, Glendale, NY 11385 Phone: 718-456-7001 | |
Ms. Kristina Lohre, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6729 Myrtle Ave, Glendale, NY 11385 Phone: 718-456-7001 Fax: 718-456-9470 | |
Elisa Malake Hasrouni, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6729 Myrtle Ave, Glendale, NY 11385 Phone: 718-456-7001 | |
Ms. Iris J. Gersten-thornburg, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6729 Myrtle Ave, Glendale, NY 11385 Phone: 718-456-7001 Fax: 718-456-9470 | |
Darlene Mckay, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7212 69th St, Glendale, NY 11385 Phone: 718-417-4337 | |
Ms. Barbara Ann Buxton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6729 Myrtle Ave, Glendale, NY 11385 Phone: 718-456-7001 Fax: 718-456-9470 | |
Mr. William Wischstadt, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6729 Myrtle Ave, Glendale, NY 11385 Phone: 718-456-7001 |