| Innovations Counseling, Lcsw Pllc | |
|
93 Main St Suite 1j West Sayville NY 11796-1832 | |
| (631) 747-6652 | |
| Not Available |
| Full Name | Innovations Counseling, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 93 Main St, West Sayville, New York |
| Authorized Official Name and Position | Amy Marie Roland (PRESIDENT/OWNER) |
| Authorized Official Contact | 6317476652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovations Counseling, Lcsw Pllc 5 Reims Ct Mount Sinai NY 11766-2815 Ph: (631) 747-6652 | Innovations Counseling, Lcsw Pllc 93 Main St Suite 1j West Sayville NY 11796-1832 Ph: (631) 747-6652 |
| NPI Number | 1568902062 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/02/2017 |
| Medicare PECOS PAC ID | 7719263565 |
|---|---|
| Medicare Enrollment ID | O20170411001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568902062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 079467 (New York) | Primary |
| Provider Name | Amy Roland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265833347 PECOS PAC ID: 7618253378 Enrollment ID: I20170411001614 |
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