| Carol Inzinga Lcsw Pllc | |
|
1655 Elmwood Ave Ste 125 Rochester NY 14620-3428 | |
| (585) 703-5861 | |
| Not Available |
| Full Name | Carol Inzinga Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1655 Elmwood Ave Ste 125, Rochester, New York |
| Authorized Official Name and Position | Carol Inzinga (OWNER) |
| Authorized Official Contact | 5857035861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Inzinga Lcsw Pllc 1655 Elmwood Ave Ste 125 Rochester NY 14620-3428 Ph: (585) 703-5861 | Carol Inzinga Lcsw Pllc 1655 Elmwood Ave Ste 125 Rochester NY 14620-3428 Ph: (585) 703-5861 |
| NPI Number | 1982271045 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 06/08/2021 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 0648670372 |
|---|---|
| Medicare Enrollment ID | O20210616003045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982271045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carol Rose Inzinga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689993693 PECOS PAC ID: 8527327964 Enrollment ID: I20180111000030 |
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