In Counseling Lcsw Pllc | |
1940 Palmer Ave Larchmont NY 10538-2410 | |
(917) 519-0146 | |
Not Available |
Full Name | In Counseling Lcsw Pllc |
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Speciality | Social Worker |
Location | 1940 Palmer Ave, Larchmont, New York |
Authorized Official Name and Position | Liza Ruiz (OWNER) |
Authorized Official Contact | 9175190146 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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In Counseling Lcsw Pllc 4295 Webster Ave Apt 2l Bronx NY 10470-2309 Ph: () - | In Counseling Lcsw Pllc 1940 Palmer Ave Larchmont NY 10538-2410 Ph: (917) 519-0146 |
NPI Number | 1154193431 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/30/2023 |
Certification Date | 10/30/2023 |
Medicare PECOS PAC ID | 6709239320 |
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Medicare Enrollment ID | O20240131001268 |
Identifier | Type | State | Issuer |
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1154193431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Liza Ruiz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912316258 PECOS PAC ID: 2466767884 Enrollment ID: I20240131001743 |
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