| New Patterns Therapy Lcsw P.c. | |
|
2784 E 12th St Rm 4a Brooklyn NY 11235-4604 | |
| (917) 655-6535 | |
| Not Available |
| Full Name | New Patterns Therapy Lcsw P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 2784 E 12th St Rm 4a, Brooklyn, New York |
| Authorized Official Name and Position | Yana Godmach (PROVIDER) |
| Authorized Official Contact | 9176556535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Patterns Therapy Lcsw P.c. 2784 E 12th St Rm 4a Brooklyn NY 11235-4604 Ph: (917) 655-6535 | New Patterns Therapy Lcsw P.c. 2784 E 12th St Rm 4a Brooklyn NY 11235-4604 Ph: (917) 655-6535 |
| NPI Number | 1346858313 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Medicare PECOS PAC ID | 1153733589 |
|---|---|
| Medicare Enrollment ID | O20201209001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346858313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anita S Aasen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740569581 PECOS PAC ID: 4385816057 Enrollment ID: I20111003000316 |
| Provider Name | Yana Godmach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104274646 PECOS PAC ID: 6608203294 Enrollment ID: I20200220000535 |
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