Kimberly Hertz Lcsw P.l.l.c | |
125 E 23rd St Ste 400 New York NY 10010-4582 | |
(212) 951-0947 | |
Not Available |
Full Name | Kimberly Hertz Lcsw P.l.l.c |
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Speciality | Social Worker |
Location | 125 E 23rd St Ste 400, New York, New York |
Authorized Official Name and Position | Kimberly Hertz (SUPERVISOR/OWNER) |
Authorized Official Contact | 2129510947 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kimberly Hertz Lcsw P.l.l.c 125 E 23rd St Ste 400 New York NY 10010-4582 Ph: () - | Kimberly Hertz Lcsw P.l.l.c 125 E 23rd St Ste 400 New York NY 10010-4582 Ph: (212) 951-0947 |
NPI Number | 1104466440 |
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Provider Enumeration Date | 01/15/2020 |
Last Update Date | 01/15/2020 |
Certification Date | 01/15/2020 |
Medicare PECOS PAC ID | 3476993460 |
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Medicare Enrollment ID | O20240424001374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104466440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kimberly Hertz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801236211 PECOS PAC ID: 0648610634 Enrollment ID: I20240424001595 |
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