| Innovative Social Work Services, Pc | |
|
596 E 165th St Suite A Bronx NY 10456-6849 | |
| (718) 620-7366 | |
| (718) 893-1635 |
| Full Name | Innovative Social Work Services, Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 596 E 165th St, Bronx, New York |
| Authorized Official Name and Position | Michele Balthrope (OWNER) |
| Authorized Official Contact | 7186207366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Social Work Services, Pc 596 E 165th St Suite A Bronx NY 10456-6849 Ph: (718) 620-7366 | Innovative Social Work Services, Pc 596 E 165th St Suite A Bronx NY 10456-6849 Ph: (718) 620-7366 |
| NPI Number | 1710929203 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710929203 | NPI | - | NPPES |
| 162213P | Other | NY | HIP (INSURANCE CO) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R057551 (New York) | Primary |
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