| Martha Briceno, Lcsw Family Psychotherapy Pllc | |
|
244 Graham Ave Brooklyn NY 11206-1204 | |
| (646) 753-4301 | |
| Not Available |
| Full Name | Martha Briceno, Lcsw Family Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 244 Graham Ave, Brooklyn, New York |
| Authorized Official Name and Position | Martha M Briceno (CLINICIAN) |
| Authorized Official Contact | 6467534301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Briceno, Lcsw Family Psychotherapy Pllc 3330 Stonehenge Dr East Stroudsburg PA 18301-7055 Ph: (646) 753-4301 | Martha Briceno, Lcsw Family Psychotherapy Pllc 244 Graham Ave Brooklyn NY 11206-1204 Ph: (646) 753-4301 |
| NPI Number | 1770941767 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 02/04/2016 |
| Medicare PECOS PAC ID | 8123318326 |
|---|---|
| Medicare Enrollment ID | O20160531001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770941767 | NPI | - | NPPES |
| 49H68EQ111 | Other | NY | MEDICARE |
| 03471634 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 082567 (New York) | Primary |
| Provider Name | Martha M Briceno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922242148 PECOS PAC ID: 4183947286 Enrollment ID: I20141222001107 |
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