Shoshanna Bacquie, MSW | |
15046 115th Ave, Jamaica, NY 11434 | |
(516) 413-1166 | |
(718) 322-2397 |
Full Name | Shoshanna Bacquie |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 15046 115th Ave, Jamaica, 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 |
---|---|---|---|
1083057350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R056918 (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 |
---|---|
Shoshanna Bacquie, MSW 15046 115th Ave, Jamaica, NY 11434-1006 Ph: (516) 413-1166 | Shoshanna Bacquie, MSW 15046 115th Ave, Jamaica, NY 11434 Ph: (516) 413-1166 |
Jin Hyun Park, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9009 Van Wyck Expy, Jamaica, NY 11435 Phone: 718-206-5575 | |
Andrew David Stein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9027 Sutphin Blvd, 5th Floor, Jamaica, NY 11435 Phone: 718-526-8400 | |
Krystal Gayle, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3000 | |
Diane Therese Levy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Mr. Eugene Donald Shea, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14732 Jamaica Ave, Jamaica, NY 11435 Phone: 718-526-8400 | |
Karime Molina, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3575 | |
Marjorie Demadet, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 |