| Lager Lcsw, Pc | |
|
1414 Wantagh Avenue Wantagh NY 11793-2210 | |
| (516) 221-2123 | |
| (516) 221-2124 |
| Full Name | Lager Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1414 Wantagh Avenue, Wantagh, New York |
| Authorized Official Name and Position | Alison Lager Schirmer (PRESIDENT) |
| Authorized Official Contact | 6317935060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lager Lcsw, Pc 1008 Barrie Ave Wantagh NY 11793-1704 Ph: (631) 793-5060 | Lager Lcsw, Pc 1414 Wantagh Avenue Wantagh NY 11793-2210 Ph: (516) 221-2123 |
| NPI Number | 1194291773 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 10/22/2018 |
| Medicare PECOS PAC ID | 3476890286 |
|---|---|
| Medicare Enrollment ID | O20190131001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194291773 | NPI | - | NPPES |
| 1336325554 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alison S Lager-schirmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336325554 PECOS PAC ID: 2567482441 Enrollment ID: I20051207000272 |
| Provider Name | Susan M Trees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912219841 PECOS PAC ID: 3779835335 Enrollment ID: I20181009002042 |
| Provider Name | Chivone S Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403639 PECOS PAC ID: 7719311323 Enrollment ID: I20200107000282 |
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