| Intercity Psychotherapy Services Lcsw, P.c. | |
|
7906 4th Ave Brooklyn NY 11209-3907 | |
| (718) 704-0898 | |
| Not Available |
| Full Name | Intercity Psychotherapy Services Lcsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 7906 4th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Millicent Ampadu (OWNER) |
| Authorized Official Contact | 6462875199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercity Psychotherapy Services Lcsw, P.c. 7906 4th Ave Brooklyn NY 11209-3907 Ph: (646) 287-5199 | Intercity Psychotherapy Services Lcsw, P.c. 7906 4th Ave Brooklyn NY 11209-3907 Ph: (718) 704-0898 |
| NPI Number | 1437733961 |
|---|---|
| Provider Enumeration Date | 05/11/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 7911306923 |
|---|---|
| Medicare Enrollment ID | O20210525000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437733961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Drucilla Nesmith-barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649420035 PECOS PAC ID: 9436407707 Enrollment ID: I20180802000684 |
| Provider Name | Millicent O Ampadu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962921452 PECOS PAC ID: 7618381914 Enrollment ID: I20210128000116 |
| Provider Name | Marcia N Houllier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992334056 PECOS PAC ID: 6507269008 Enrollment ID: I20210721002229 |
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