| Puglisi Counseling Llc | |
|
201 Lackawanna Ave Ste 316 Scranton PA 18503-1953 | |
| (570) 766-0772 | |
| Not Available |
| Full Name | Puglisi Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 201 Lackawanna Ave Ste 316, Scranton, Pennsylvania |
| Authorized Official Name and Position | Brandon J Puglisi (OWNER) |
| Authorized Official Contact | 5707660772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puglisi Counseling Llc 2307 Winfield Ave Scranton PA 18505-3415 Ph: (570) 766-0772 | Puglisi Counseling Llc 201 Lackawanna Ave Ste 316 Scranton PA 18503-1953 Ph: (570) 766-0772 |
| NPI Number | 1760140784 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Medicare PECOS PAC ID | 6507252327 |
|---|---|
| Medicare Enrollment ID | O20220405000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760140784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann Marie Kopec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558570879 PECOS PAC ID: 5698784643 Enrollment ID: I20060419000454 |
| Provider Name | Jennifer Kristen Pitoniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073996153 PECOS PAC ID: 9436576253 Enrollment ID: I20200825002495 |
| Provider Name | Anissa Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952923690 PECOS PAC ID: 2264843788 Enrollment ID: I20201204000151 |
| Provider Name | Brandon Joseph Puglisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528655529 PECOS PAC ID: 2264845908 Enrollment ID: I20210119001807 |
| Provider Name | Cortney Tabb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245996966 PECOS PAC ID: 7911375142 Enrollment ID: I20221121000022 |
| Provider Name | Alex Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114695624 PECOS PAC ID: 4880050012 Enrollment ID: I20230515000851 |
| Provider Name | Mary Soska |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477222057 PECOS PAC ID: 7618319203 Enrollment ID: I20240529000090 |
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