| Eating Disorder Recovery Specialists | |
|
57 W 57th St Ste 1101 New York NY 10019-2814 | |
| (917) 373-4557 | |
| Not Available |
| Full Name | Eating Disorder Recovery Specialists |
|---|---|
| Speciality | Social Worker |
| Location | 57 W 57th St Ste 1101, New York, New York |
| Authorized Official Name and Position | Greta Gleissner (FOUNDER) |
| Authorized Official Contact | 9173734557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Recovery Specialists 459 Columbus Ave Ste 124 New York NY 10024-5129 Ph: (917) 373-4557 | Eating Disorder Recovery Specialists 57 W 57th St Ste 1101 New York NY 10019-2814 Ph: (917) 373-4557 |
| NPI Number | 1851805345 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 3971913112 |
|---|---|
| Medicare Enrollment ID | O20201029001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851805345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 083457 (New York) | Primary |
| Provider Name | Greta Marie Gleissner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881928539 PECOS PAC ID: 4880004027 Enrollment ID: I20201029001903 |
| Provider Name | Lindsie Elwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811428675 PECOS PAC ID: 1759759350 Enrollment ID: I20221201000591 |
| Provider Name | Shira R Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548806177 PECOS PAC ID: 8426427592 Enrollment ID: I20221212002283 |
| Provider Name | Aschel Lane Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093345738 PECOS PAC ID: 4880038777 Enrollment ID: I20240219003851 |
| Provider Name | Katherine Ellen Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356967533 PECOS PAC ID: 8022456730 Enrollment ID: I20240401001418 |
| Provider Name | Patrice Constance Anastasio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518611334 PECOS PAC ID: 0345782587 Enrollment ID: I20240604001109 |
| Provider Name | Katherine Russell Sammis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962011759 PECOS PAC ID: 3870035827 Enrollment ID: I20240606000869 |
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