| Family Care Counseling Services, Lcsw,p.c. | |
|
595 Route 25a Ste 20 Miller Place NY 11764-2647 | |
| (631) 744-5500 | |
| (631) 744-5677 |
| Full Name | Family Care Counseling Services, Lcsw,p.c. |
|---|---|
| Speciality | Social Worker |
| Location | 595 Route 25a Ste 20, Miller Place, New York |
| Authorized Official Name and Position | Kathleen Anne Van Essendelft (DIRECTOR) |
| Authorized Official Contact | 6317445500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Counseling Services, Lcsw,p.c. 595 Route 25a Ste 20 Miller Place NY 11764-2647 Ph: (631) 744-5500 | Family Care Counseling Services, Lcsw,p.c. 595 Route 25a Ste 20 Miller Place NY 11764-2647 Ph: (631) 744-5500 |
| NPI Number | 1467578575 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 01/08/2008 |
| Medicare PECOS PAC ID | 2365516986 |
|---|---|
| Medicare Enrollment ID | O20080730000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467578575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R040232 (New York) | Primary |
| Provider Name | Kathleen A Wilk Van Essendelft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821134578 PECOS PAC ID: 4688746845 Enrollment ID: I20080730000831 |
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