| Lcsw Evaluations And Clinical Social Work, P.c. | |
|
10 Flagship Cir Staten Island NY 10309-3979 | |
| (917) 636-2841 | |
| Not Available |
| Full Name | Lcsw Evaluations And Clinical Social Work, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 10 Flagship Cir, Staten Island, New York |
| Authorized Official Name and Position | Arkady Utkin (DIRECTOR) |
| Authorized Official Contact | 9178362841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcsw Evaluations And Clinical Social Work, P.c. 10 Flagship Cir Staten Island NY 10309-3979 Ph: () - | Lcsw Evaluations And Clinical Social Work, P.c. 10 Flagship Cir Staten Island NY 10309-3979 Ph: (917) 636-2841 |
| NPI Number | 1326331836 |
|---|---|
| Provider Enumeration Date | 05/17/2011 |
| Last Update Date | 05/17/2011 |
| Medicare PECOS PAC ID | 9830367549 |
|---|---|
| Medicare Enrollment ID | O20110725000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326331836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R057074-1 (New York) | Primary |
| Provider Name | Ada Tsarnas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134212806 PECOS PAC ID: 9638151632 Enrollment ID: I20040603000639 |
| Provider Name | Arkady Utkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205873015 PECOS PAC ID: 3779569298 Enrollment ID: I20040625000702 |
| Provider Name | Irina Voskoboynik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457371783 PECOS PAC ID: 9931116589 Enrollment ID: I20060308000144 |
| Provider Name | Jennifer L Mcdonough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346393162 PECOS PAC ID: 3870625031 Enrollment ID: I20100723000301 |
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