| Conscious Psychotherapy Lcsw Pc | |
|
6 Pak Ct East Setauket NY 11733-3330 | |
| (631) 921-2975 | |
| Not Available |
| Full Name | Conscious Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Pak Ct, East Setauket, New York |
| Authorized Official Name and Position | Melissa Saponieri (OWNER) |
| Authorized Official Contact | 6319212975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Psychotherapy Lcsw Pc 6 Pak Ct East Setauket NY 11733-3330 Ph: (631) 921-2975 | Conscious Psychotherapy Lcsw Pc 6 Pak Ct East Setauket NY 11733-3330 Ph: (631) 921-2975 |
| NPI Number | 1912601725 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 4385083112 |
|---|---|
| Medicare Enrollment ID | O20240412002732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912601725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa M Saponieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184866865 PECOS PAC ID: 4688919160 Enrollment ID: I20190103000806 |
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