Celine Stillman Lcsw Pc | |
124 N Broadway Nyack NY 10960-2047 | |
(917) 519-9567 | |
Not Available |
Full Name | Celine Stillman Lcsw Pc |
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Speciality | Social Worker |
Location | 124 N Broadway, Nyack, New York |
Authorized Official Name and Position | Celine Stillman (OWNER) |
Authorized Official Contact | 9175199567 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Celine Stillman Lcsw Pc 124 N Broadway Nyack NY 10960-2047 Ph: (917) 519-9567 | Celine Stillman Lcsw Pc 124 N Broadway Nyack NY 10960-2047 Ph: (917) 519-9567 |
NPI Number | 1487391223 |
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Provider Enumeration Date | 05/13/2022 |
Last Update Date | 05/13/2022 |
Certification Date | 05/13/2022 |
Medicare PECOS PAC ID | 2769861913 |
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Medicare Enrollment ID | O20220620000726 |
Identifier | Type | State | Issuer |
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1487391223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Celine M Stillman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861673634 PECOS PAC ID: 3577610948 Enrollment ID: I20090422000353 |
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