| Kristen Whelan, Lcsw P.c. | |
|
27 The Plz Ste B Locust Valley NY 11560-2200 | |
| (516) 584-5105 | |
| Not Available |
| Full Name | Kristen Whelan, Lcsw P.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27 The Plz Ste B, Locust Valley, New York |
| Authorized Official Name and Position | Kristen Whelan (OWNER) |
| Authorized Official Contact | 5165845105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Whelan, Lcsw P.c. 27 The Plz Ste B Locust Valley NY 11560-2200 Ph: (516) 584-5105 | Kristen Whelan, Lcsw P.c. 27 The Plz Ste B Locust Valley NY 11560-2200 Ph: (516) 584-5105 |
| NPI Number | 1710706478 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710706478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Sallyann Ricciardi, Lcsw-r,pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 The Plaza, Suite B, Locust Valley, NY 11560 Phone: 516-674-8588 Fax: 516-671-2580 |