| Mdesimone Psychotherapy Services Lcsw Pllc | |
|
300 Cadman Plz W # 12 1 Pierrepont Plaza Brooklyn NY 11201-2701 | |
| (917) 364-9983 | |
| (212) 594-1213 |
| Full Name | Mdesimone Psychotherapy Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 300 Cadman Plz W # 12, Brooklyn, New York |
| Authorized Official Name and Position | Michelle Desimone (LCSW) |
| Authorized Official Contact | 9173649983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdesimone Psychotherapy Services Lcsw Pllc 300 Cadman Plz W # 12 1 Pierrepont Plaza Brooklyn NY 11201-2701 Ph: (917) 364-9983 | Mdesimone Psychotherapy Services Lcsw Pllc 300 Cadman Plz W # 12 1 Pierrepont Plaza Brooklyn NY 11201-2701 Ph: (917) 364-9983 |
| NPI Number | 1801261094 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 6901101252 |
|---|---|
| Medicare Enrollment ID | O20160224000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801261094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 078873 (New York) | Primary |
| Provider Name | Michelle A Desimone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801038278 PECOS PAC ID: 1850529025 Enrollment ID: I20140115000542 |
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