Ms Larissa Boodhoo, LCSW, CASAC is a
Social Worker - Clinical based in Massapequa, New York. Ms Larissa Boodhoo is licensed to practice in New York (license number 097930) and her current practice location is
75 Grand Ave, Massapequa, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 799-3203.
NPI number for Ms Larissa Boodhoo is 1831628130 and her current mailing address is 75 Grand Ave, Massapequa, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831628130.
Healthcare Provider's Profile
| Full Name | Ms Larissa Boodhoo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 75 Grand Ave, Massapequa, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831628130
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Ms Larissa Boodhoo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831628130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 33740 (New York) | Secondary |
| 104100000X | Social Worker | 108481 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 097930 (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. Ms Larissa Boodhoo 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 |
|---|
Ms Larissa Boodhoo, LCSW, CASAC
75 Grand Ave,
Massapequa, NY 11758-4905
Ph: (516) 799-3203 | Ms Larissa Boodhoo, LCSW, CASAC
75 Grand Ave,
Massapequa, NY 11758-4905
Ph: (516) 799-3203 |
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