| Living Well Lcsw Pc | |
|
194 Nassau Ave Brooklyn NY 11222-5362 | |
| (718) 701-2220 | |
| (718) 701-2225 |
| Full Name | Living Well Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 194 Nassau Ave, Brooklyn, New York |
| Authorized Official Name and Position | Daniel Bernatowicz (OWNER) |
| Authorized Official Contact | 7187012220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Lcsw Pc 194 Nassau Ave Brooklyn NY 11222-5362 Ph: (718) 701-2220 | Living Well Lcsw Pc 194 Nassau Ave Brooklyn NY 11222-5362 Ph: (718) 701-2220 |
| NPI Number | 1306311642 |
|---|---|
| Provider Enumeration Date | 10/12/2018 |
| Last Update Date | 06/07/2024 |
| Certification Date | 06/07/2024 |
| Medicare PECOS PAC ID | 9537592456 |
|---|---|
| Medicare Enrollment ID | O20191209000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306311642 | NPI | - | NPPES |
| 03336954 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel Bernatowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811122971 PECOS PAC ID: 5496906422 Enrollment ID: I20121121000224 |
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