Listening Ear Therapy Lcsw Pllc | |
36 Watergate Dr Amawalk NY 10501-1107 | |
(914) 602-1003 | |
Not Available |
Full Name | Listening Ear Therapy Lcsw Pllc |
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Speciality | Social Worker |
Location | 36 Watergate Dr, Amawalk, New York |
Authorized Official Name and Position | Nisha Catherine Thayil Manglani (THERAPIST) |
Authorized Official Contact | 9146021003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Listening Ear Therapy Lcsw Pllc 36 Watergate Dr # Na Amawalk NY 10501-1107 Ph: (914) 602-1003 | Listening Ear Therapy Lcsw Pllc 36 Watergate Dr Amawalk NY 10501-1107 Ph: (914) 602-1003 |
NPI Number | 1174237382 |
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Provider Enumeration Date | 01/11/2023 |
Last Update Date | 04/20/2023 |
Certification Date | 04/08/2023 |
Medicare PECOS PAC ID | 8426414657 |
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Medicare Enrollment ID | O20230515000816 |
Identifier | Type | State | Issuer |
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1174237382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Nisha C Manglani |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477024172 PECOS PAC ID: 3971837543 Enrollment ID: I20190702001108 |
Listening Ear Counseling And Therapy Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Watergate Dr, Amawalk, NY 10501 Phone: 914-602-1003 | |
Listening Ear Counseling And Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Watergate Dr, Amawalk, NY 10501 Phone: 914-602-1003 |