Miss Peta Gaye Hermitt, LCSW, CASAC is a
Social Worker - Clinical based in Brooklyn, New York. Miss Peta Gaye Hermitt is licensed to practice in New York (license number 083598) and her current practice location is
40 Flatbush Avenue Ext, 8th Floor, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 439-4300.
NPI number for Miss Peta Gaye Hermitt is 1023340353 and her current mailing address is 800 Poly Pl, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023340353.
Healthcare Provider's Profile
| Full Name | Miss Peta Gaye Hermitt |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 40 Flatbush Avenue Ext, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023340353
- Provider Enumeration Date: 02/11/2010
- Last Update Date: 09/30/2015
Medical Identifiers
Medical identifiers for Miss Peta Gaye Hermitt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023340353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22761 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 083598 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Peta Gaye Hermitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Peta Gaye Hermitt, LCSW, CASAC
800 Poly Pl,
Brooklyn, NY 11209-7104
Ph: (718) 836-6600 | Miss Peta Gaye Hermitt, LCSW, CASAC
40 Flatbush Avenue Ext, 8th Floor,
Brooklyn, NY 11201-2903
Ph: (718) 439-4300 |
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