| Affective Lcsw Services | |
|
97 Bush Ave Staten Island NY 10303-2215 | |
| (347) 788-3775 | |
| (718) 420-1032 |
| Full Name | Affective Lcsw Services |
|---|---|
| Speciality | Social Worker |
| Location | 97 Bush Ave, Staten Island, New York |
| Authorized Official Name and Position | Delsa Johnson Fauconier (PRESIDENT/CEO) |
| Authorized Official Contact | 3477883775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affective Lcsw Services 97 Bush Ave Staten Island NY 10303-2215 Ph: (347) 788-3775 | Affective Lcsw Services 97 Bush Ave Staten Island NY 10303-2215 Ph: (347) 788-3775 |
| NPI Number | 1205257417 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Medicare PECOS PAC ID | 2466675343 |
|---|---|
| Medicare Enrollment ID | O20140521002073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205257417 | NPI | - | NPPES |
| 03546563 | Medicaid | NY |
| Provider Name | Delsa Fauconier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154572469 PECOS PAC ID: 4183847064 Enrollment ID: I20140522000041 |
Silver Lake Psychotherapy Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Victory Blvd, Staten Island, NY 10301 Phone: 718-727-3313 Fax: 718-667-0131 | |
A Friendly Face Licensed Behavior Analyst Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1887 Richmond Ave Ste 5, Staten Island, NY 10314 Phone: 718-698-1300 Fax: 917-667-8601 | |
Sisters Of Charity Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Bard Ave, Staten Island, NY 10310 Phone: 718-818-1234 Fax: 212-356-4420 | |
Therapy Link Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3936 Amboy Road, Staten Island, NY 10308 Phone: 718-317-6390 Fax: 718-317-6391 | |
G.suero, Lcsw- Psychotherapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1272 Richmond Rd, Suite 3, Staten Island, NY 10304 Phone: 347-441-3706 Fax: 347-855-2591 | |
Counseling And Coaching Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 482 Bard Ave Fl 3, Staten Island, NY 10310 Phone: 646-764-6562 | |
Dakota Harper, Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 Victory Blvd, Staten Island, NY 10314 Phone: 917-297-3146 |