| Nyc Therapy Group, Lcsws Psychotherapy Professionals Pllc | |
|
5731 Mosholu Ave 2nd Floor Bronx NY 10471-2205 | |
| (646) 389-5801 | |
| Not Available |
| Full Name | Nyc Therapy Group, Lcsws Psychotherapy Professionals Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5731 Mosholu Ave, Bronx, New York |
| Authorized Official Name and Position | Amir Levine (PRESIDENT) |
| Authorized Official Contact | 6463895801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyc Therapy Group, Lcsws Psychotherapy Professionals Pllc 5731 Mosholu Ave 2nd Floor Bronx NY 10471-2205 Ph: (646) 389-5801 | Nyc Therapy Group, Lcsws Psychotherapy Professionals Pllc 5731 Mosholu Ave 2nd Floor Bronx NY 10471-2205 Ph: (646) 389-5801 |
| NPI Number | 1629494273 |
|---|---|
| Provider Enumeration Date | 03/06/2014 |
| Last Update Date | 03/06/2014 |
| Medicare PECOS PAC ID | 3577787373 |
|---|---|
| Medicare Enrollment ID | O20140618000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629494273 | NPI | - | NPPES |
| 1205953163 | Other | NY | NPI |
| 1508989773 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 074408 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | 075669 (New York) | Secondary |
| Provider Name | Amir Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508989773 PECOS PAC ID: 9638367253 Enrollment ID: I20101227000515 |
| Provider Name | Veronica Vaiti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205953163 PECOS PAC ID: 0547484347 Enrollment ID: I20161024002036 |
| Provider Name | Pamela Lepore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275149650 PECOS PAC ID: 0345680526 Enrollment ID: I20240506000532 |
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