Brendan Twist Lcsw Pllc | |
340 Route 202 Ste H Somers NY 10589-3289 | |
(516) 428-7140 | |
Not Available |
Full Name | Brendan Twist Lcsw Pllc |
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Speciality | Social Worker |
Location | 340 Route 202 Ste H, Somers, New York |
Authorized Official Name and Position | Brendan Twist (OWNER) |
Authorized Official Contact | 5164287140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brendan Twist Lcsw Pllc 4 Cameo Ct Carmel NY 10512-2231 Ph: (516) 428-7140 | Brendan Twist Lcsw Pllc 340 Route 202 Ste H Somers NY 10589-3289 Ph: (516) 428-7140 |
NPI Number | 1821856022 |
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Provider Enumeration Date | 03/12/2024 |
Last Update Date | 04/09/2024 |
Certification Date | 04/09/2024 |
Medicare PECOS PAC ID | 9032551023 |
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Medicare Enrollment ID | O20240522001560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821856022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Brendan Twist |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538703368 PECOS PAC ID: 0941642938 Enrollment ID: I20240522001623 |
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