| Brandi Perusomala Lcsw Pllc | |
|
1111 Route 9 # 1 Garrison NY 10524-3237 | |
| (845) 202-0715 | |
| Not Available |
| Full Name | Brandi Perusomala Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1111 Route 9 # 1, Garrison, New York |
| Authorized Official Name and Position | Brandi Rochelle Perusomala (OWNER) |
| Authorized Official Contact | 8452020715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Perusomala Lcsw Pllc 3718 Colonist Trl New Windsor NY 12553-4940 Ph: (917) 573-5261 | Brandi Perusomala Lcsw Pllc 1111 Route 9 # 1 Garrison NY 10524-3237 Ph: (845) 202-0715 |
| NPI Number | 1821602681 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Medicare PECOS PAC ID | 1456761022 |
|---|---|
| Medicare Enrollment ID | O20201110002664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821602681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brandi Rochelle Perusomala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801875315 PECOS PAC ID: 0345595369 Enrollment ID: I20201110002742 |
Nancy I Arocho-mercado, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1111 Route 9 Ste I, Garrison, NY 10524 Phone: 646-234-2659 Fax: 845-736-4320 | |
Head In The Right Direction, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 St Basils Rd, Suite 6, Garrison, NY 10524 Phone: 845-335-5615 Fax: 845-335-5616 |