Pandolfi Counseling Associates, Inc. | |
1001 City Ave Unit Wa804 Wynnewood PA 19096-3939 | |
(646) 981-7059 | |
(610) 206-3785 |
Full Name | Pandolfi Counseling Associates, Inc. |
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Speciality | Social Worker |
Location | 1001 City Ave Unit Wa804, Wynnewood, Pennsylvania |
Authorized Official Name and Position | Maria Connie Pandolfi (OWNER, SOCIAL WORKER/THERAPIST) |
Authorized Official Contact | 3054793158 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pandolfi Counseling Associates, Inc. 1001 City Ave Unit Wa804 Wynnewood PA 19096-3939 Ph: (305) 479-3158 | Pandolfi Counseling Associates, Inc. 1001 City Ave Unit Wa804 Wynnewood PA 19096-3939 Ph: (646) 981-7059 |
NPI Number | 1285097659 |
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Provider Enumeration Date | 04/01/2016 |
Last Update Date | 12/05/2023 |
Certification Date | 05/18/2021 |
Medicare PECOS PAC ID | 1557651684 |
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Medicare Enrollment ID | O20161115001639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285097659 | NPI | - | NPPES |
IO402Z | Other | FL | MEDICARE PTAN |
018344400 | Medicaid | FL | |
IO402Z | Other | FL | MEDICARE PTAN GRP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW6295 (Florida) | Primary |
Provider Name | Maria C Pandolfi |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235595943 PECOS PAC ID: 7517986094 Enrollment ID: I20161115001174 |
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