| Julie Hasselbeck, Lcsw Pllc | |
|
2178 Main St Buffalo NY 14214-2634 | |
| (716) 939-1112 | |
| Not Available |
| Full Name | Julie Hasselbeck, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2178 Main St, Buffalo, New York |
| Authorized Official Name and Position | Julie Marie Hasselbeck (MEMBER) |
| Authorized Official Contact | 7169391112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Hasselbeck, Lcsw Pllc 2178 Main St Buffalo NY 14214-2634 Ph: (716) 939-1112 | Julie Hasselbeck, Lcsw Pllc 2178 Main St Buffalo NY 14214-2634 Ph: (716) 939-1112 |
| NPI Number | 1457117038 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 3173963196 |
|---|---|
| Medicare Enrollment ID | O20240424002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457117038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julie Marie Hasselbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679278832 PECOS PAC ID: 9436599461 Enrollment ID: I20240424002962 |
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