| Boundless Lcsw Pllc | |
|
319 Avenue C New York NY 10009 | |
| (929) 274-2255 | |
| Not Available |
| Full Name | Boundless Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 319 Avenue C, New York, New York |
| Authorized Official Name and Position | Prerna Menon (CO-FOUNDER) |
| Authorized Official Contact | 4126092641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundless Lcsw Pllc 442 5th Ave # 2537 New York NY 10018-2794 Ph: () - | Boundless Lcsw Pllc 319 Avenue C New York NY 10009 Ph: (929) 274-2255 |
| NPI Number | 1881478972 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881478972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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