| New Horizons Lcsw, Pc | |
|
14 Washington Ave Suite 2 Brentwood NY 11717-3247 | |
| (631) 766-8989 | |
| (888) 272-0686 |
| Full Name | New Horizons Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 14 Washington Ave, Brentwood, New York |
| Authorized Official Name and Position | Ana Carrion (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6317668989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Lcsw, Pc 14 Washington Ave Suite 2 Brentwood NY 11717-3247 Ph: (631) 766-8989 | New Horizons Lcsw, Pc 14 Washington Ave Suite 2 Brentwood NY 11717-3247 Ph: (631) 766-8989 |
| NPI Number | 1023380771 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 03/02/2015 |
| Medicare PECOS PAC ID | 0042468381 |
|---|---|
| Medicare Enrollment ID | O20120912000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023380771 | NPI | - | NPPES |
| 03345677 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R-051132-1 (New York) | Primary |
| 1041S0200X | Social Worker - School | 108482880 (New York) | Secondary |
| Provider Name | Ana A Carrion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558507053 PECOS PAC ID: 2668650334 Enrollment ID: I20110628000527 |
| Provider Name | Marilyn C Solano-foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396045001 PECOS PAC ID: 3678892387 Enrollment ID: I20150430002126 |
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