| Aldea Counseling Services Lcsw Pc | |
|
601 W 150th St New York NY 10031-2449 | |
| (917) 822-3036 | |
| Not Available |
| Full Name | Aldea Counseling Services Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 601 W 150th St, New York, New York |
| Authorized Official Name and Position | Jonathon Moon (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9173596099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aldea Counseling Services Lcsw Pc 55 Parkway W Mount Vernon NY 10552-1142 Ph: (917) 359-6099 | Aldea Counseling Services Lcsw Pc 601 W 150th St New York NY 10031-2449 Ph: (917) 822-3036 |
| NPI Number | 1801137708 |
|---|---|
| Provider Enumeration Date | 03/03/2013 |
| Last Update Date | 07/15/2023 |
| Certification Date | 07/15/2023 |
| Medicare PECOS PAC ID | 1052558004 |
|---|---|
| Medicare Enrollment ID | O20130510000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801137708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Raymond Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508031436 PECOS PAC ID: 1557355955 Enrollment ID: I20040408001578 |
| Provider Name | Jose Alfaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790150696 PECOS PAC ID: 3274890876 Enrollment ID: I20171207001362 |
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