| Jennifer Flanagan Lcsw, Pc | |
|
296 N Main St Suite One Sayville NY 11782-2550 | |
| (631) 472-2629 | |
| Not Available |
| Full Name | Jennifer Flanagan Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 296 N Main St, Sayville, New York |
| Authorized Official Name and Position | Jennifer Marie Flanagan (LCSW) |
| Authorized Official Contact | 6314722629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Flanagan Lcsw, Pc 296 North Main Street Suite One Sayville NY 11782 Ph: (631) 472-2629 | Jennifer Flanagan Lcsw, Pc 296 N Main St Suite One Sayville NY 11782-2550 Ph: (631) 472-2629 |
| NPI Number | 1578845731 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 12/04/2012 |
| Medicare PECOS PAC ID | 2062683469 |
|---|---|
| Medicare Enrollment ID | O20110915000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578845731 | NPI | - | NPPES |
| N8K171 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 053699-1 (New York) | Primary |
| Provider Name | Jennifer M Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669696613 PECOS PAC ID: 4486825882 Enrollment ID: I20110919000192 |
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