| Psychotherapy Lcsw Pc | |
|
9029 218th Pl Queens Village NY 11428-1336 | |
| (347) 682-7023 | |
| (718) 454-5027 |
| Full Name | Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 9029 218th Pl, Queens Village, New York |
| Authorized Official Name and Position | Adalgiza Sandoval (OWNER) |
| Authorized Official Contact | 3476807023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Lcsw Pc 9029 218th Pl Queens Village NY 11428-1336 Ph: (347) 680-7023 | Psychotherapy Lcsw Pc 9029 218th Pl Queens Village NY 11428-1336 Ph: (347) 682-7023 |
| NPI Number | 1063992345 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 6901158013 |
|---|---|
| Medicare Enrollment ID | O20181017001800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063992345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Adalgiza Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245360189 PECOS PAC ID: 0547356321 Enrollment ID: I20071010000510 |
Rta Hth Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22001 Jamaica Ave, Queens Village, NY 11428 Phone: 718-412-1848 | |
214-18 Hillside Ave Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21418 Hillside Ave, Queens Village, NY 11427 Phone: 646-331-7345 | |
Jrc Evaluations & Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221-17 91 Road, Queens Village, NY 11428 Phone: 516-965-1009 | |
Federation Of Organizations For The Ny State Mentally Disabled, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7925 Winchester Blvd, Building 40, 2nd Floor, Queens Village, NY 11427 Phone: 718-464-2552 | |
Multicultural Guidance Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8802 209th St, Queens Village, NY 11427 Phone: 718-479-0640 | |
Creedmoor Psychiatric Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7925 Winchester Blvd, Queens Village, NY 11427 Phone: 718-464-7500 |