| Lsa Recovery | |
|
1623 Kings Hwy Brooklyn NY 11229-1209 | |
| (718) 375-1200 | |
| (718) 382-3358 |
| Full Name | Lsa Recovery |
|---|---|
| Speciality | Case Management |
| Location | 1623 Kings Hwy, Brooklyn, New York |
| Authorized Official Name and Position | Stephen Gersten (CEO) |
| Authorized Official Contact | 9292737601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsa Recovery 1623 Kings Hwy Brooklyn NY 11229-1209 Ph: (718) 375-1200 | Lsa Recovery 1623 Kings Hwy Brooklyn NY 11229-1209 Ph: (718) 375-1200 |
| NPI Number | 1588611842 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 04/19/2021 |
| Certification Date | 04/19/2021 |
| Medicare PECOS PAC ID | 7911898192 |
|---|---|
| Medicare Enrollment ID | O20040324001602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588611842 | NPI | - | NPPES |
| 00245318 | Medicaid | NY |
| Provider Name | Grace A Owen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730276627 PECOS PAC ID: 0345139333 Enrollment ID: I20040315001445 |
| Provider Name | Paul O'keefe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730229741 PECOS PAC ID: 2466344692 Enrollment ID: I20040325000130 |
| Provider Name | Mian Siddique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760457188 PECOS PAC ID: 6406848613 Enrollment ID: I20040330001373 |
| Provider Name | Inna P Markhasina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548250475 PECOS PAC ID: 1153303003 Enrollment ID: I20040603001069 |
| Provider Name | Emma Dorfman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225127103 PECOS PAC ID: 4789674367 Enrollment ID: I20040608000951 |
| Provider Name | Zipora F Massis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265529218 PECOS PAC ID: 3678557576 Enrollment ID: I20040617000483 |
| Provider Name | Valentina Paley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285735233 PECOS PAC ID: 6709851512 Enrollment ID: I20040826000422 |
| Provider Name | Sararivka Liberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437234549 PECOS PAC ID: 1557322716 Enrollment ID: I20041020001387 |
| Provider Name | Elizabeth Sirota |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255437125 PECOS PAC ID: 4385605930 Enrollment ID: I20041026000858 |
| Provider Name | Sherley Millet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275686479 PECOS PAC ID: 1557306677 Enrollment ID: I20050620001009 |
| Provider Name | Angela J Leach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922015486 PECOS PAC ID: 1850327115 Enrollment ID: I20050709000037 |
| Provider Name | Phyllis Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124095781 PECOS PAC ID: 9638105562 Enrollment ID: I20050712001181 |
| Provider Name | Mikhail Pilman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023191871 PECOS PAC ID: 4587692207 Enrollment ID: I20050802001376 |
| Provider Name | Quazi T Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326051749 PECOS PAC ID: 0446284384 Enrollment ID: I20050921000202 |
| Provider Name | Leonid Lozentsvak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770662777 PECOS PAC ID: 3678508389 Enrollment ID: I20050930000749 |
| Provider Name | Nataliya Remennik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821180720 PECOS PAC ID: 7719904176 Enrollment ID: I20051026000204 |
| Provider Name | Carmin Appolon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124052394 PECOS PAC ID: 9739108192 Enrollment ID: I20051115000346 |
| Provider Name | Judy Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194914366 PECOS PAC ID: 1254354764 Enrollment ID: I20060111000399 |
| Provider Name | Margarita Khazina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255430682 PECOS PAC ID: 6305869694 Enrollment ID: I20060112000778 |
| Provider Name | Ella Mazurova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487687638 PECOS PAC ID: 0749297398 Enrollment ID: I20060307000718 |
| Provider Name | Laura E Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548271000 PECOS PAC ID: 0840291746 Enrollment ID: I20070119000276 |
| Provider Name | Richard Fred Storch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205991908 PECOS PAC ID: 8325142938 Enrollment ID: I20070409000154 |
| Provider Name | Sophia C Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811003379 PECOS PAC ID: 5294825311 Enrollment ID: I20071213000138 |
| Provider Name | Barbara Chalom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023199197 PECOS PAC ID: 2163507302 Enrollment ID: I20080311000716 |
| Provider Name | Alex Mikhelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982802906 PECOS PAC ID: 0840379145 Enrollment ID: I20080512000054 |
| Provider Name | Dawnette D Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346350618 PECOS PAC ID: 8325110505 Enrollment ID: I20080703000059 |
| Provider Name | Guy C Pasculli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053570598 PECOS PAC ID: 7315010782 Enrollment ID: I20080717000447 |
| Provider Name | Ahssan Haj-yehia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366520546 PECOS PAC ID: 8921172693 Enrollment ID: I20080730000375 |
| Provider Name | Pamela P Siller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295887396 PECOS PAC ID: 9335213677 Enrollment ID: I20080804000500 |
| Provider Name | Carole M Roc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174791412 PECOS PAC ID: 8820165798 Enrollment ID: I20080918000020 |
| Provider Name | Fritz Jean-louis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982679338 PECOS PAC ID: 4385711894 Enrollment ID: I20080925000429 |
| Provider Name | Yevgeniya Z Gorodetskaya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225101017 PECOS PAC ID: 8426116575 Enrollment ID: I20081020000040 |
| Provider Name | Roberto M De Paula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134359953 PECOS PAC ID: 3274688544 Enrollment ID: I20090910000254 |
| Provider Name | La Shemah R Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104966100 PECOS PAC ID: 7315135142 Enrollment ID: I20101221000702 |
| Provider Name | Joseph N Voigt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326075888 PECOS PAC ID: 3870773385 Enrollment ID: I20110216000011 |
| Provider Name | Delia M Jano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467470351 PECOS PAC ID: 8921289687 Enrollment ID: I20110301000269 |
| Provider Name | Hyacinth Leonie Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104954239 PECOS PAC ID: 9537342050 Enrollment ID: I20110322000094 |
| Provider Name | Tasha S Tyrell-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407009939 PECOS PAC ID: 9436335619 Enrollment ID: I20110524000594 |
| Provider Name | Ella Lenderman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356665434 PECOS PAC ID: 7113104415 Enrollment ID: I20110615000038 |
| Provider Name | Vicki Diane Sunshine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053418491 PECOS PAC ID: 4688840978 Enrollment ID: I20120109000660 |
| Provider Name | Idalia Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124134770 PECOS PAC ID: 8426225707 Enrollment ID: I20120127000423 |
| Provider Name | Jonah Rockoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467533539 PECOS PAC ID: 0941467864 Enrollment ID: I20120206000098 |
| Provider Name | Yeta M Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053493726 PECOS PAC ID: 1759548274 Enrollment ID: I20120210000101 |
| Provider Name | Jeffrey M Wallach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407952054 PECOS PAC ID: 0345408076 Enrollment ID: I20120227000077 |
| Provider Name | Eleonora Stotland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912207093 PECOS PAC ID: 9830351360 Enrollment ID: I20120430000543 |
| Provider Name | Muhammad Z Islam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992907133 PECOS PAC ID: 8729235668 Enrollment ID: I20120828000302 |
| Provider Name | Ruben A Portnoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740320951 PECOS PAC ID: 8224288964 Enrollment ID: I20121016000032 |
| Provider Name | Daniel A Fried |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639402407 PECOS PAC ID: 4789819855 Enrollment ID: I20131025000465 |
| Provider Name | Merry P Nachemin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376972802 PECOS PAC ID: 0042447476 Enrollment ID: I20131210002012 |
| Provider Name | Htet Htet Linn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700032299 PECOS PAC ID: 0840421087 Enrollment ID: I20140401000969 |
| Provider Name | Erica Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053685206 PECOS PAC ID: 9830320084 Enrollment ID: I20140401001042 |
| Provider Name | Gavriel Gavrielov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366607723 PECOS PAC ID: 7416189485 Enrollment ID: I20140407001611 |
| Provider Name | Robert A Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184799884 PECOS PAC ID: 7214973288 Enrollment ID: I20140410000264 |
| Provider Name | Claude Laniado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003849464 PECOS PAC ID: 1153554001 Enrollment ID: I20140430001994 |
| Provider Name | Marda N Yilma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972658946 PECOS PAC ID: 0042434516 Enrollment ID: I20140624001842 |
| Provider Name | Carline Lamour-occean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952654188 PECOS PAC ID: 4183846298 Enrollment ID: I20141105000584 |
| Provider Name | Makeda N Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952567372 PECOS PAC ID: 3971664442 Enrollment ID: I20141105001151 |
| Provider Name | Ephraim Simcha Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417189861 PECOS PAC ID: 1456573435 Enrollment ID: I20141106000646 |
| Provider Name | Marsha Atkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992864649 PECOS PAC ID: 2668798323 Enrollment ID: I20150224001879 |
| Provider Name | Megan A Kleinman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154614949 PECOS PAC ID: 6305163312 Enrollment ID: I20150331001219 |
| Provider Name | Farah Jean Philippe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083938674 PECOS PAC ID: 0547589079 Enrollment ID: I20150506000100 |
| Provider Name | Laura Panitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558670315 PECOS PAC ID: 3870800642 Enrollment ID: I20150911001380 |
| Provider Name | Angela Shister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235448044 PECOS PAC ID: 8729389705 Enrollment ID: I20151216001131 |
| Provider Name | Margarette Dessources |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447654280 PECOS PAC ID: 4880990613 Enrollment ID: I20160304000450 |
| Provider Name | Abdul Mohit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053545855 PECOS PAC ID: 7113066952 Enrollment ID: I20160425000210 |
| Provider Name | Kristine A Vigueras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831540921 PECOS PAC ID: 7315233715 Enrollment ID: I20160912001137 |
| Provider Name | Alla Barsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285847418 PECOS PAC ID: 6002102209 Enrollment ID: I20160915000174 |
| Provider Name | Leonie V Luxama |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205195468 PECOS PAC ID: 6204114812 Enrollment ID: I20161102002503 |
| Provider Name | Linda T Franco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386925352 PECOS PAC ID: 7618257197 Enrollment ID: I20161130000485 |
| Provider Name | Audrey N Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073917944 PECOS PAC ID: 2567752082 Enrollment ID: I20170106001057 |
| Provider Name | Jonathan Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871038232 PECOS PAC ID: 6204112923 Enrollment ID: I20170412001819 |
| Provider Name | Patsy Ann James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487027926 PECOS PAC ID: 4880962109 Enrollment ID: I20170609001001 |
| Provider Name | Ianina Suponitsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124407465 PECOS PAC ID: 0840590121 Enrollment ID: I20170824003674 |
| Provider Name | Ekaterina Mozer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710309190 PECOS PAC ID: 6406113695 Enrollment ID: I20171124000163 |
| Provider Name | Osmond Quiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629241393 PECOS PAC ID: 4688841968 Enrollment ID: I20171221000821 |
| Provider Name | Shirell Roeback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801220215 PECOS PAC ID: 0840558706 Enrollment ID: I20171222000867 |
| Provider Name | Jody Eve Shatkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912089384 PECOS PAC ID: 0840558458 Enrollment ID: I20180102002486 |
| Provider Name | Jesse Daniel Sarlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700264850 PECOS PAC ID: 2769742204 Enrollment ID: I20180201001653 |
| Provider Name | Juan R Ceron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093087587 PECOS PAC ID: 5193085645 Enrollment ID: I20180201002367 |
| Provider Name | Sarah K Wilda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285097253 PECOS PAC ID: 2860755170 Enrollment ID: I20180420000089 |
| Provider Name | Glenn A Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083878110 PECOS PAC ID: 9234494550 Enrollment ID: I20180607000407 |
| Provider Name | Fritzner Montalmant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124328638 PECOS PAC ID: 5991014540 Enrollment ID: I20190207000327 |
| Provider Name | Solomon I Mosheyev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144621590 PECOS PAC ID: 1557600723 Enrollment ID: I20190305003412 |
| Provider Name | Matthew F Warren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760624241 PECOS PAC ID: 0042544017 Enrollment ID: I20190625001767 |
| Provider Name | Betty Lau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346403706 PECOS PAC ID: 5395070874 Enrollment ID: I20190708000455 |
| Provider Name | Chani Scharf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407264401 PECOS PAC ID: 3375878853 Enrollment ID: I20190708000533 |
| Provider Name | Nitin Toteja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720217375 PECOS PAC ID: 1759616063 Enrollment ID: I20190709001946 |
| Provider Name | Marsha A Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578122958 PECOS PAC ID: 0749510733 Enrollment ID: I20190917003461 |
| Provider Name | Victor A Amobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356532386 PECOS PAC ID: 2163768334 Enrollment ID: I20191126002108 |
| Provider Name | N'keya Nubia Peters Camille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598150773 PECOS PAC ID: 5294151445 Enrollment ID: I20200818002977 |
| Provider Name | Michael D Mcarthur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093112260 PECOS PAC ID: 8628494895 Enrollment ID: I20200818003500 |
| Provider Name | Elisha Naiditch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841740255 PECOS PAC ID: 0840616041 Enrollment ID: I20200819000344 |
| Provider Name | Yitzchok Poliakoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518334879 PECOS PAC ID: 3971918228 Enrollment ID: I20210218000650 |
| Provider Name | Chaya M Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114394715 PECOS PAC ID: 7719392026 Enrollment ID: I20210219000186 |
| Provider Name | Jessica D Zur-linden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577459 PECOS PAC ID: 9537574645 Enrollment ID: I20210224000572 |
| Provider Name | Viktoria Sapelyuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053861047 PECOS PAC ID: 4385050038 Enrollment ID: I20210304001608 |
| Provider Name | Chukwueke Lekwauwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468873 PECOS PAC ID: 1557786837 Enrollment ID: I20210325002133 |
| Provider Name | Nigel C Sealey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366951881 PECOS PAC ID: 3870901713 Enrollment ID: I20210414001715 |
| Provider Name | Jasmine Dayan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508341967 PECOS PAC ID: 9739597063 Enrollment ID: I20210426001312 |
| Provider Name | David F Huamancha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598286312 PECOS PAC ID: 5890196216 Enrollment ID: I20210623001324 |
| Provider Name | Sandra K Cummings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306983390 PECOS PAC ID: 3870995020 Enrollment ID: I20210709001417 |
| Provider Name | Daphney Mary Rene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538309091 PECOS PAC ID: 0042609679 Enrollment ID: I20211119000679 |
| Provider Name | Elliot B Blitenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790279453 PECOS PAC ID: 9436549136 Enrollment ID: I20211213001851 |
| Provider Name | Sean P Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154869840 PECOS PAC ID: 8527450196 Enrollment ID: I20220112001091 |
| Provider Name | Eric Steven Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730525445 PECOS PAC ID: 0244622256 Enrollment ID: I20220125003014 |
| Provider Name | Ketisha Z Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043243785 PECOS PAC ID: 3870986409 Enrollment ID: I20220203001253 |
| Provider Name | Michelle Marie Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457849804 PECOS PAC ID: 3971998766 Enrollment ID: I20220314001105 |
| Provider Name | Colista Kearney Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801484282 PECOS PAC ID: 5698160208 Enrollment ID: I20220317002317 |
| Provider Name | Kiswana Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588323588 PECOS PAC ID: 5698162402 Enrollment ID: I20220426002218 |
| Provider Name | Heather Elizabeth Luboff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467072306 PECOS PAC ID: 4688051469 Enrollment ID: I20220517001212 |
| Provider Name | Rebecca S Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548540669 PECOS PAC ID: 9537540273 Enrollment ID: I20220713000905 |
| Provider Name | Menachem Mendel Blau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073031290 PECOS PAC ID: 3476934134 Enrollment ID: I20220713001480 |
| Provider Name | Francesca M. Trelles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003563891 PECOS PAC ID: 6608257431 Enrollment ID: I20220725002807 |
| Provider Name | Rosemary Ellen Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700343217 PECOS PAC ID: 2860874641 Enrollment ID: I20220727001621 |
| Provider Name | Adena Chaviva Blickstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619324092 PECOS PAC ID: 3971986225 Enrollment ID: I20220818002114 |
| Provider Name | Ezriel D Deutsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558838292 PECOS PAC ID: 4486030665 Enrollment ID: I20220927000543 |
| Provider Name | Shannel Latoya Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164153557 PECOS PAC ID: 1658757513 Enrollment ID: I20220929001317 |
| Provider Name | Jennifer Weinstock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649903105 PECOS PAC ID: 5991176786 Enrollment ID: I20230112002666 |
| Provider Name | Leslie M Alan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205281805 PECOS PAC ID: 8224409073 Enrollment ID: I20230113002134 |
| Provider Name | Stacyann L Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114323821 PECOS PAC ID: 6406228899 Enrollment ID: I20230213001332 |
| Provider Name | Diana Koulikova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053736256 PECOS PAC ID: 0042683583 Enrollment ID: I20230302001641 |
| Provider Name | Megan L Smucker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083102917 PECOS PAC ID: 7618340167 Enrollment ID: I20230302001919 |
| Provider Name | Levi Y Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881186161 PECOS PAC ID: 8729453055 Enrollment ID: I20230418002394 |
| Provider Name | Mark E Fishman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780178020 PECOS PAC ID: 7517322779 Enrollment ID: I20230424001392 |
| Provider Name | Lakeisha A Fable |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174097844 PECOS PAC ID: 5193180289 Enrollment ID: I20230425000096 |
| Provider Name | Christie Offenbachaer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508359878 PECOS PAC ID: 8628430188 Enrollment ID: I20230815002644 |
| Provider Name | Goldie Gotesman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588117501 PECOS PAC ID: 6002278520 Enrollment ID: I20230816000960 |
| Provider Name | Ida Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780395434 PECOS PAC ID: 7214391689 Enrollment ID: I20230919000595 |
| Provider Name | Adrian M Elias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871155036 PECOS PAC ID: 9234587577 Enrollment ID: I20231128001740 |
| Provider Name | Bolanle K Adegoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952775611 PECOS PAC ID: 7911399886 Enrollment ID: I20231201000178 |
| Provider Name | Charles Czermak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780131623 PECOS PAC ID: 1759731607 Enrollment ID: I20231219001844 |
| Provider Name | Ijeamaka T Emejuru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255568200 PECOS PAC ID: 0143671628 Enrollment ID: I20240109002878 |
| Provider Name | Michelle Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154981017 PECOS PAC ID: 6800247966 Enrollment ID: I20240112002866 |
| Provider Name | Anne T Brenkert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235217183 PECOS PAC ID: 9335591049 Enrollment ID: I20240118001922 |
| Provider Name | Teri H Goldstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457749343 PECOS PAC ID: 5496107138 Enrollment ID: I20240118002792 |
| Provider Name | Francine S Fonfeder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437238979 PECOS PAC ID: 2961855655 Enrollment ID: I20240130000676 |
| Provider Name | Neil Spirn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730854027 PECOS PAC ID: 3072966779 Enrollment ID: I20240130000856 |
| Provider Name | Alexandra Villalobos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316555907 PECOS PAC ID: 1052764693 Enrollment ID: I20240130002538 |
| Provider Name | Devin Towle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427593482 PECOS PAC ID: 2264885854 Enrollment ID: I20240131000602 |
| Provider Name | Dovid M Glancz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689967143 PECOS PAC ID: 0749633345 Enrollment ID: I20240131000816 |
| Provider Name | Gabrielle M Herman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740632298 PECOS PAC ID: 4789037300 Enrollment ID: I20240131001331 |
| Provider Name | Giselle Matos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104451251 PECOS PAC ID: 8325491848 Enrollment ID: I20240131001671 |
| Provider Name | Irina Vovchenko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992297808 PECOS PAC ID: 2365895885 Enrollment ID: I20240131001941 |
| Provider Name | Evelyn Cruz Santiago |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205449840 PECOS PAC ID: 7012360555 Enrollment ID: I20240131002621 |
| Provider Name | Angie Mompoint-general |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962020743 PECOS PAC ID: 1658724109 Enrollment ID: I20240131002693 |
| Provider Name | Cristina Guzman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194344754 PECOS PAC ID: 1355794801 Enrollment ID: I20240131002799 |
| Provider Name | Brocha Frankel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770065526 PECOS PAC ID: 8325491871 Enrollment ID: I20240131002895 |
| Provider Name | Brianna R Partenio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881173995 PECOS PAC ID: 3577916030 Enrollment ID: I20240131003033 |
| Provider Name | Dana Goldberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710526991 PECOS PAC ID: 3375996838 Enrollment ID: I20240131003098 |
| Provider Name | Destiny L Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790250421 PECOS PAC ID: 1557714052 Enrollment ID: I20240131004582 |
| Provider Name | Morgan B Siegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922553445 PECOS PAC ID: 5991158495 Enrollment ID: I20240131004647 |
| Provider Name | Mariela Romero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457755852 PECOS PAC ID: 0345693859 Enrollment ID: I20240131004692 |
| Provider Name | Gabriele Rociunas-englert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174175061 PECOS PAC ID: 0244683753 Enrollment ID: I20240131004728 |
| Provider Name | Olney S Hargrove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699285106 PECOS PAC ID: 7618320045 Enrollment ID: I20240201000719 |
| Provider Name | Yelena Mark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679838858 PECOS PAC ID: 2769835115 Enrollment ID: I20240201001581 |
| Provider Name | Rochel Horowitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437641644 PECOS PAC ID: 6507219961 Enrollment ID: I20240201001908 |
| Provider Name | Rachmin Israel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861030306 PECOS PAC ID: 2365895737 Enrollment ID: I20240201002151 |
| Provider Name | Shimon Dreyfuss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598714149 PECOS PAC ID: 3274986674 Enrollment ID: I20240201003236 |
| Provider Name | Moshe Maness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093286346 PECOS PAC ID: 4183077498 Enrollment ID: I20240201003700 |
| Provider Name | Emily K Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376072306 PECOS PAC ID: 3971956285 Enrollment ID: I20240201003846 |
| Provider Name | Ivette Villalobos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154915700 PECOS PAC ID: 2668825928 Enrollment ID: I20240202000874 |
| Provider Name | Wendy E Tejeda Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750043493 PECOS PAC ID: 2264885532 Enrollment ID: I20240202001374 |
| Provider Name | Nicole Caso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639613227 PECOS PAC ID: 9537502851 Enrollment ID: I20240202003523 |
| Provider Name | Santos G Zelaya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720647530 PECOS PAC ID: 7911340195 Enrollment ID: I20240205001641 |
| Provider Name | Sabrina K Mcginley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780338434 PECOS PAC ID: 1355784547 Enrollment ID: I20240205001762 |
| Provider Name | Santiago Marquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376217703 PECOS PAC ID: 1951744143 Enrollment ID: I20240205001934 |
| Provider Name | May Gurt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255984571 PECOS PAC ID: 6406299601 Enrollment ID: I20240205002343 |
| Provider Name | Pauline C Arquero-canlas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245971464 PECOS PAC ID: 7113360314 Enrollment ID: I20240205002367 |
| Provider Name | Michael A Hartman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093297913 PECOS PAC ID: 6204279417 Enrollment ID: I20240205002730 |
| Provider Name | Marlin Bonilla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871055020 PECOS PAC ID: 5395188478 Enrollment ID: I20240206000787 |
| Provider Name | Catherine M Portacio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265066872 PECOS PAC ID: 7911340013 Enrollment ID: I20240206001212 |
| Provider Name | Menachem Rimler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033781414 PECOS PAC ID: 3173966272 Enrollment ID: I20240206001314 |
| Provider Name | Kelwin J Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487106415 PECOS PAC ID: 5092158105 Enrollment ID: I20240206001697 |
| Provider Name | Ekaterina Kozlova |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548821382 PECOS PAC ID: 1456794510 Enrollment ID: I20240206003634 |
| Provider Name | Luigi Clemente |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194265751 PECOS PAC ID: 2860835824 Enrollment ID: I20240206003830 |
| Provider Name | Henry Li |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932621927 PECOS PAC ID: 6901249978 Enrollment ID: I20240206004106 |
| Provider Name | Yvette Jean-pierre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295306306 PECOS PAC ID: 5395188387 Enrollment ID: I20240207000081 |
| Provider Name | Yaffa Y Yadger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770040750 PECOS PAC ID: 9739522731 Enrollment ID: I20240207000143 |
| Provider Name | Berdetta V Plaxico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972077444 PECOS PAC ID: 1951744986 Enrollment ID: I20240207000953 |
| Provider Name | Norman R Godoy Salgado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801405709 PECOS PAC ID: 8628411592 Enrollment ID: I20240207002604 |
| Provider Name | Dina Derilas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487214680 PECOS PAC ID: 4587007331 Enrollment ID: I20240208001390 |
| Provider Name | Tracy L Liang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467992024 PECOS PAC ID: 0840633533 Enrollment ID: I20240209001375 |
| Provider Name | Odia C Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659896298 PECOS PAC ID: 7012377385 Enrollment ID: I20240213000589 |
| Provider Name | Gila Souleiman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275173221 PECOS PAC ID: 1254775422 Enrollment ID: I20240215001041 |
| Provider Name | Steve Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538689963 PECOS PAC ID: 2163867268 Enrollment ID: I20240228003416 |
| Provider Name | Maureen Enayo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679961775 PECOS PAC ID: 4082059126 Enrollment ID: I20240229000168 |
| Provider Name | Joshua J Vega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427668540 PECOS PAC ID: 7911343447 Enrollment ID: I20240307000159 |
| Provider Name | Siddiqur Rahman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952037038 PECOS PAC ID: 7315383858 Enrollment ID: I20240307000303 |
| Provider Name | Pearl L Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538688320 PECOS PAC ID: 3173969615 Enrollment ID: I20240307000495 |
| Provider Name | Ester A Yadgaran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417551748 PECOS PAC ID: 4082050521 Enrollment ID: I20240307000500 |
| Provider Name | Anna L Bartels-newton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457050817 PECOS PAC ID: 3870930555 Enrollment ID: I20240318003325 |
| Provider Name | Latoya George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518739366 PECOS PAC ID: 1355788506 Enrollment ID: I20240322002695 |
| Provider Name | Russell Governale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295366268 PECOS PAC ID: 3274971833 Enrollment ID: I20240402004090 |
| Provider Name | Gisellet Peralta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982242574 PECOS PAC ID: 2668810714 Enrollment ID: I20240409001438 |
| Provider Name | Cindy S Velazquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104579861 PECOS PAC ID: 8628417003 Enrollment ID: I20240418000292 |
| Provider Name | Nicholas J Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013476746 PECOS PAC ID: 7113367715 Enrollment ID: I20240430001852 |
| Provider Name | Jade Hemsi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821655762 PECOS PAC ID: 4183064785 Enrollment ID: I20240430001972 |
| Provider Name | Cindy Silva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396389375 PECOS PAC ID: 4385084813 Enrollment ID: I20240501003085 |
| Provider Name | Zissel D Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245883982 PECOS PAC ID: 5890137327 Enrollment ID: I20240529001688 |
St. Vincent's Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 66 Boerum Pl, Brooklyn, NY 11201 Phone: 718-422-2307 Fax: 718-422-2271 | |
Ccms Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Elm Pl Fl 2, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493 | |
Guidance Center Of Brooklyn Heights Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Chapel St Fl 9, Brooklyn, NY 11201 Phone: 718-875-7510 Fax: 718-858-8410 | |
E. Twente, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Plaza St W, Apt 2-b, Brooklyn, NY 11217 Phone: 718-622-5796 | |
Akiva Management Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Surf Ave, Brooklyn, NY 11224 Phone: 718-444-5125 Fax: 718-444-1582 | |
Everyday Superheroes Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Schermerhorn St Ste 136, Brooklyn, NY 11201 Phone: 929-277-2550 | |
Community Counseling And Mediation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hoyt St, Seventh Floor, Brooklyn, NY 11201 Phone: 718-802-0666 Fax: 718-858-9493 |