| Lorraine Gonzalez Lcsw Pllc | |
|
2174 Hewlett Ave Suite 211 Merrick NY 11566-3606 | |
| (917) 396-2290 | |
| Not Available |
| Full Name | Lorraine Gonzalez Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2174 Hewlett Ave, Merrick, New York |
| Authorized Official Name and Position | Lorraine Gonzalez (OWNER) |
| Authorized Official Contact | 9173962290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Gonzalez Lcsw Pllc 921 Lee Rd Wantagh NY 11793-1025 Ph: (917) 396-2290 | Lorraine Gonzalez Lcsw Pllc 2174 Hewlett Ave Suite 211 Merrick NY 11566-3606 Ph: (917) 396-2290 |
| NPI Number | 1669926135 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669926135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R076167 (New York) | Primary |
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