| Marcy Mevorach, Lcsw, Llc | |
|
8687 E Via De Ventura Ste 308 Scottsdale AZ 85258-3349 | |
| (480) 707-2885 | |
| (480) 563-7703 |
| Full Name | Marcy Mevorach, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8687 E Via De Ventura Ste 308, Scottsdale, Arizona |
| Authorized Official Name and Position | Marcy Mevorach (SOLE MEMBER) |
| Authorized Official Contact | 4807072885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcy Mevorach, Lcsw, Llc 8687 E Via De Ventura Ste 308 Scottsdale AZ 85258-3349 Ph: (480) 707-2885 | Marcy Mevorach, Lcsw, Llc 8687 E Via De Ventura Ste 308 Scottsdale AZ 85258-3349 Ph: (480) 707-2885 |
| NPI Number | 1720595879 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 2567722713 |
|---|---|
| Medicare Enrollment ID | O20180207002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720595879 | NPI | - | NPPES |
| 403418 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marcy E Mevorach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851583850 PECOS PAC ID: 4789734161 Enrollment ID: I20090604000635 |
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