| Brooklyn Psychotherapy Services Lcsw Pllc | |
|
3380 Nostrand Ave Apt 1e Suite 1e Brooklyn NY 11229-4032 | |
| (917) 674-9522 | |
| Not Available |
| Full Name | Brooklyn Psychotherapy Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3380 Nostrand Ave Apt 1e, Brooklyn, New York |
| Authorized Official Name and Position | Yelena Zhuklevich (OWNER) |
| Authorized Official Contact | 9176749522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Psychotherapy Services Lcsw Pllc 354 Van Sicklen St Brooklyn NY 11223-3867 Ph: () - | Brooklyn Psychotherapy Services Lcsw Pllc 3380 Nostrand Ave Apt 1e Suite 1e Brooklyn NY 11229-4032 Ph: (917) 674-9522 |
| NPI Number | 1396102612 |
|---|---|
| Provider Enumeration Date | 01/16/2016 |
| Last Update Date | 01/16/2016 |
| Medicare PECOS PAC ID | 1153628490 |
|---|---|
| Medicare Enrollment ID | O20160331000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396102612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PR062278-1 (New York) | Primary |
| Provider Name | Laura Frey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720203136 PECOS PAC ID: 1557257151 Enrollment ID: I20040311000308 |
| Provider Name | Yelena Zhuklevich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831298249 PECOS PAC ID: 0143117739 Enrollment ID: I20040909001092 |
| Provider Name | Ellen Trest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407181944 PECOS PAC ID: 5991962821 Enrollment ID: I20120206000292 |
| Provider Name | Maria Golubitsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023499167 PECOS PAC ID: 0648524371 Enrollment ID: I20181116000754 |
| Provider Name | Mandy H Hirschheimer-breslow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326297862 PECOS PAC ID: 5092033548 Enrollment ID: I20190219001286 |
| Provider Name | Julia I Gutman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720560717 PECOS PAC ID: 6305212754 Enrollment ID: I20221026001529 |
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