| Corcoran Counseling Services Lcsw Pllc | |
|
2200 Maple Ave Cortlandt Manor NY 10567-6116 | |
| (914) 450-2224 | |
| Not Available |
| Full Name | Corcoran Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2200 Maple Ave, Cortlandt Manor, New York |
| Authorized Official Name and Position | Vincenza Corcoran (OWNER) |
| Authorized Official Contact | 9144502224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corcoran Counseling Services Lcsw Pllc 2200 Maple Ave Cortlandt Manor NY 10567-6116 Ph: (914) 450-2224 | Corcoran Counseling Services Lcsw Pllc 2200 Maple Ave Cortlandt Manor NY 10567-6116 Ph: (914) 450-2224 |
| NPI Number | 1922646280 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Medicare PECOS PAC ID | 7618304734 |
|---|---|
| Medicare Enrollment ID | O20200228002010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922646280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vincenza Corcoran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093928764 PECOS PAC ID: 9638417462 Enrollment ID: I20190220002333 |
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