| Josephine Venezia Lcsw Pc | |
|
95 N Maple St Massapequa NY 11758-2636 | |
| (516) 841-4113 | |
| Not Available |
| Full Name | Josephine Venezia Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 95 N Maple St, Massapequa, New York |
| Authorized Official Name and Position | Josephine Venezia (PROVIDER) |
| Authorized Official Contact | 5168414113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Venezia Lcsw Pc 95 N Maple St N Massapequa NY 11758-2636 Ph: () - | Josephine Venezia Lcsw Pc 95 N Maple St Massapequa NY 11758-2636 Ph: (516) 841-4113 |
| NPI Number | 1942911235 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 0749653400 |
|---|---|
| Medicare Enrollment ID | O20230227002952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942911235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Josephine M Venezia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881950327 PECOS PAC ID: 4385992981 Enrollment ID: I20210203002356 |
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