| Burton Behavioral Health Wellness Lcsw Pc | |
|
875 Mamaroneck Ave Ste 1 Mamaroneck NY 10543-1900 | |
| (860) 772-0269 | |
| Not Available |
| Full Name | Burton Behavioral Health Wellness Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 875 Mamaroneck Ave Ste 1, Mamaroneck, New York |
| Authorized Official Name and Position | Melanie Burton (CEO) |
| Authorized Official Contact | 8607720269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Behavioral Health Wellness Lcsw Pc 11 Michaels Ln Croton On Hudson NY 10520-2010 Ph: () - | Burton Behavioral Health Wellness Lcsw Pc 875 Mamaroneck Ave Ste 1 Mamaroneck NY 10543-1900 Ph: (860) 772-0269 |
| NPI Number | 1669123923 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/18/2022 |
| Certification Date | 01/18/2022 |
| Medicare PECOS PAC ID | 2163800871 |
|---|---|
| Medicare Enrollment ID | O20220609000242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669123923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306063896 PECOS PAC ID: 6800196486 Enrollment ID: I20220609000327 |
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