| Marson Licensed Clinical Social Work And Consulting Services, Pllc | |
|
3 Wilcox Ln Brentwood NY 11717-7512 | |
| (631) 650-3977 | |
| Not Available |
| Full Name | Marson Licensed Clinical Social Work And Consulting Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3 Wilcox Ln, Brentwood, New York |
| Authorized Official Name and Position | Bernadette Candis Marson (DIRECTOR) |
| Authorized Official Contact | 6316503977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marson Licensed Clinical Social Work And Consulting Services, Pllc 3 Wilcox Ln Brentwood NY 11717-7512 Ph: (631) 650-3977 | Marson Licensed Clinical Social Work And Consulting Services, Pllc 3 Wilcox Ln Brentwood NY 11717-7512 Ph: (631) 650-3977 |
| NPI Number | 1598943920 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Medicare PECOS PAC ID | 8325121098 |
|---|---|
| Medicare Enrollment ID | O20080219000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598943920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 070655 (New York) | Primary |
| Provider Name | Bernadette C Marson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023214681 PECOS PAC ID: 9335222868 Enrollment ID: I20080207000155 |
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