| Inner Power Lcsw Pc | |
|
7009 Austin St Suite 203 Forest Hills NY 11375-4799 | |
| (646) 725-8545 | |
| Not Available |
| Full Name | Inner Power Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 7009 Austin St, Forest Hills, New York |
| Authorized Official Name and Position | Irina Mavasheva (PRESIDENT) |
| Authorized Official Contact | 6467258545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Power Lcsw Pc 7009 Austin St Suite 203 Forest Hills NY 11375-4799 Ph: (646) 725-8545 | Inner Power Lcsw Pc 7009 Austin St Suite 203 Forest Hills NY 11375-4799 Ph: (646) 725-8545 |
| NPI Number | 1831597004 |
|---|---|
| Provider Enumeration Date | 12/19/2014 |
| Last Update Date | 07/16/2015 |
| Medicare PECOS PAC ID | 9830415553 |
|---|---|
| Medicare Enrollment ID | O20150224000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831597004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 082458-1 (New York) | Primary |
| Provider Name | Irina I Mavasheva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841367968 PECOS PAC ID: 0244555373 Enrollment ID: I20150213000118 |
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