| Helping Our People Excel Community Social Work Initiative, P.c | |
|
1411 Linden Blvd Apt 5f Brooklyn NY 11212-5143 | |
| (718) 922-4721 | |
| (718) 922-6011 |
| Full Name | Helping Our People Excel Community Social Work Initiative, P.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1411 Linden Blvd Apt 5f, Brooklyn, New York |
| Authorized Official Name and Position | Tanya Sherise Odums (CEO/THERAPIST) |
| Authorized Official Contact | 7189224721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Helping Our People Excel Community Social Work Initiative, P.c Po Box 360470 Brooklyn NY 11236-0470 Ph: (718) 922-4721 | Helping Our People Excel Community Social Work Initiative, P.c 1411 Linden Blvd Apt 5f Brooklyn NY 11212-5143 Ph: (718) 922-4721 |
| NPI Number | 1376565283 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376565283 | NPI | - | NPPES |
| 02591188 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R05888-3 (New York) | Primary |
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