| Psychotherapy Services Lcsw Pllc | |
|
35 Hamilton Pl Apt 101 New York NY 10031-6813 | |
| (212) 933-1865 | |
| (212) 933-1865 |
| Full Name | Psychotherapy Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 35 Hamilton Pl Apt 101, New York, New York |
| Authorized Official Name and Position | Jeannette Alejandra Sucre (MEMBER) |
| Authorized Official Contact | 3476533612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Services Lcsw Pllc 35 Hamilton Pl Apt 101 New York NY 10031-6813 Ph: (212) 933-1865 | Psychotherapy Services Lcsw Pllc 35 Hamilton Pl Apt 101 New York NY 10031-6813 Ph: (212) 933-1865 |
| NPI Number | 1831774850 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 7214336288 |
|---|---|
| Medicare Enrollment ID | O20210524002020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831774850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeannette A Sucre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285765784 PECOS PAC ID: 8123427192 Enrollment ID: I20210524002114 |
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