| Live A Life By Design Lcsw Pllc | |
|
455 Central Park Ave Suite 311 Scarsdale NY 10583-1060 | |
| (914) 589-3588 | |
| Not Available |
| Full Name | Live A Life By Design Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 455 Central Park Ave, Scarsdale, New York |
| Authorized Official Name and Position | Staci Rosenberg (OWNER) |
| Authorized Official Contact | 9145893588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live A Life By Design Lcsw Pllc 455 Central Park Ave Suite 311 Scarsdale NY 10583-1060 Ph: () - | Live A Life By Design Lcsw Pllc 455 Central Park Ave Suite 311 Scarsdale NY 10583-1060 Ph: (914) 589-3588 |
| NPI Number | 1366717936 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Medicare PECOS PAC ID | 0648432419 |
|---|---|
| Medicare Enrollment ID | O20120425000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366717936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 078494 (New York) | Primary |
| Provider Name | Staci Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558587329 PECOS PAC ID: 2062698434 Enrollment ID: I20110519000323 |
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