| Gateway Counseling Lcsw Pllc | |
|
363 Route 111 Suite 103 Smithtown NY 11787-4750 | |
| (631) 335-3960 | |
| Not Available |
| Full Name | Gateway Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 363 Route 111, Smithtown, New York |
| Authorized Official Name and Position | Laurel Levin (OWNER) |
| Authorized Official Contact | 6313353960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Counseling Lcsw Pllc 363 Route 111 Smithtown NY 11787-4750 Ph: (631) 335-3960 | Gateway Counseling Lcsw Pllc 363 Route 111 Suite 103 Smithtown NY 11787-4750 Ph: (631) 335-3960 |
| NPI Number | 1932516911 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 08/13/2014 |
| Medicare PECOS PAC ID | 1254670771 |
|---|---|
| Medicare Enrollment ID | O20190228000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932516911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 079890-1 (New York) | Primary |
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