A Silver Lining Psychotherapy Lcsw, Pllc | |
21 3rd St Middletown NY 10940-2320 | |
(845) 418-5017 | |
Not Available |
Full Name | A Silver Lining Psychotherapy Lcsw, Pllc |
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Speciality | Social Worker |
Location | 21 3rd St, Middletown, New York |
Authorized Official Name and Position | Kristin Mohamed (OWNER) |
Authorized Official Contact | 8454185017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Silver Lining Psychotherapy Lcsw, Pllc Po Box 110 Middletown NY 10940-0110 Ph: () - | A Silver Lining Psychotherapy Lcsw, Pllc 21 3rd St Middletown NY 10940-2320 Ph: (845) 418-5017 |
NPI Number | 1992579064 |
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Provider Enumeration Date | 11/09/2023 |
Last Update Date | 11/09/2023 |
Certification Date | 11/09/2023 |
Medicare PECOS PAC ID | 3173967783 |
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Medicare Enrollment ID | O20240221003571 |
Identifier | Type | State | Issuer |
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1992579064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kristin Mohamed |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902460249 PECOS PAC ID: 7416340641 Enrollment ID: I20220210000247 |
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