| Goodman & D'aconti, Lcsws Pllc | |
|
727 N Broadway Ste C1 Massapequa NY 11758-2348 | |
| (631) 606-6068 | |
| Not Available |
| Full Name | Goodman & D'aconti, Lcsws Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 727 N Broadway Ste C1, Massapequa, New York |
| Authorized Official Name and Position | James D'aconti (OWNER) |
| Authorized Official Contact | 6316066068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman & D'aconti, Lcsws Pllc 727 N Broadway Ste C1 Massapequa NY 11758-2348 Ph: (631) 606-6068 | Goodman & D'aconti, Lcsws Pllc 727 N Broadway Ste C1 Massapequa NY 11758-2348 Ph: (631) 606-6068 |
| NPI Number | 1699382473 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Certification Date | 09/25/2020 |
| Medicare PECOS PAC ID | 0042626251 |
|---|---|
| Medicare Enrollment ID | O20210315000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699382473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639313232 PECOS PAC ID: 5395891766 Enrollment ID: I20090928000015 |
| Provider Name | James Daconti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285159756 PECOS PAC ID: 1951717164 Enrollment ID: I20210315000910 |
| Provider Name | Jeraldine Fedoriw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215528401 PECOS PAC ID: 5294142196 Enrollment ID: I20210319001922 |
| Provider Name | Jill Berger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366056632 PECOS PAC ID: 8022425347 Enrollment ID: I20210401000993 |
| Provider Name | Jason Moston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932560273 PECOS PAC ID: 4587068028 Enrollment ID: I20210805003066 |
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