| Brooklyn 38 Lcsw Pllc | |
|
1049 38th St Ste B Brooklyn NY 11219-1012 | |
| (917) 414-8676 | |
| (718) 387-6429 |
| Full Name | Brooklyn 38 Lcsw Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1049 38th St Ste B, Brooklyn, New York |
| Authorized Official Name and Position | Irwin Lenefsky (CEO) |
| Authorized Official Contact | 9174148676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn 38 Lcsw Pllc 1049 38th St Ste B Brooklyn NY 11219-1012 Ph: (917) 414-8676 | Brooklyn 38 Lcsw Pllc 1049 38th St Ste B Brooklyn NY 11219-1012 Ph: (917) 414-8676 |
| NPI Number | 1639799216 |
|---|---|
| Provider Enumeration Date | 04/23/2020 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Medicare PECOS PAC ID | 7113349481 |
|---|---|
| Medicare Enrollment ID | O20200616001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639799216 | NPI | - | NPPES |
| Provider Name | Kenneth L Caccavale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821281288 PECOS PAC ID: 8527227750 Enrollment ID: I20120308000060 |
| Provider Name | Irwin Marc Lenefsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811969751 PECOS PAC ID: 8729327986 Enrollment ID: I20190305002880 |
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