| Ekaterina Baksheeva Lcsw Pllc | |
|
27a Gardenia Ln Staten Island NY 10314-5841 | |
| (347) 320-9793 | |
| Not Available |
| Full Name | Ekaterina Baksheeva Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27a Gardenia Ln, Staten Island, New York |
| Authorized Official Name and Position | Ekaterina Baksheeva (OWNER) |
| Authorized Official Contact | 3473209793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ekaterina Baksheeva Lcsw Pllc 27a Gardenia Ln Staten Island NY 10314-5841 Ph: (347) 320-9793 | Ekaterina Baksheeva Lcsw Pllc 27a Gardenia Ln Staten Island NY 10314-5841 Ph: (347) 320-9793 |
| NPI Number | 1427822501 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427822501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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