| Kc Lcsw, P.c. | |
|
71 Elizabeth Dr Bethpage NY 11714-6434 | |
| (631) 406-9886 | |
| Not Available |
| Full Name | Kc Lcsw, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 71 Elizabeth Dr, Bethpage, New York |
| Authorized Official Name and Position | Kim Callahan (LCSW) |
| Authorized Official Contact | 6314069886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Lcsw, P.c. 71 Elizabeth Dr Bethpage NY 11714-6434 Ph: (631) 406-9886 | Kc Lcsw, P.c. 71 Elizabeth Dr Bethpage NY 11714-6434 Ph: (631) 406-9886 |
| NPI Number | 1376315663 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376315663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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