| Erica Zeller Licensed Clinical Social Work Pllc | |
|
15 Bellemeade Ave Ste 3 Smithtown NY 11787 | |
| (631) 863-9223 | |
| (631) 406-6444 |
| Full Name | Erica Zeller Licensed Clinical Social Work Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 15 Bellemeade Ave Ste 3, Smithtown, New York |
| Authorized Official Name and Position | Erica Zeller (OWNER) |
| Authorized Official Contact | 6318639223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Zeller Licensed Clinical Social Work Pllc 25 Route 111 Unit 1210 Smithtown NY 11787-7049 Ph: (631) 863-9223 | Erica Zeller Licensed Clinical Social Work Pllc 15 Bellemeade Ave Ste 3 Smithtown NY 11787 Ph: (631) 863-9223 |
| NPI Number | 1992217871 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 07/20/2018 |
| Medicare PECOS PAC ID | 9537417415 |
|---|---|
| Medicare Enrollment ID | O20180809000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992217871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 085957 (New York) | Primary |
| Provider Name | Erica Zeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205213683 PECOS PAC ID: 4183973332 Enrollment ID: I20180821001828 |
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