| Queens Psychotherapy Lcsw Services P.c. | |
|
9520 63rd Rd Suite J Rego Park NY 11374-1160 | |
| (718) 459-1225 | |
| (718) 459-5805 |
| Full Name | Queens Psychotherapy Lcsw Services P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 9520 63rd Rd, Rego Park, New York |
| Authorized Official Name and Position | Vanessa Acevedo (PRESIDENT) |
| Authorized Official Contact | 7184591225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Psychotherapy Lcsw Services P.c. 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 | Queens Psychotherapy Lcsw Services P.c. 9520 63rd Rd Suite J Rego Park NY 11374-1160 Ph: (718) 459-1225 |
| NPI Number | 1366806705 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Medicare PECOS PAC ID | 9931499639 |
|---|---|
| Medicare Enrollment ID | O20160608002581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366806705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245377951 PECOS PAC ID: 2466499397 Enrollment ID: I20050412001517 |
| Provider Name | Anna Sakharova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790764793 PECOS PAC ID: 7113942780 Enrollment ID: I20051012000830 |
| Provider Name | Jacqueline Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194895532 PECOS PAC ID: 0244240430 Enrollment ID: I20060503000108 |
| Provider Name | Vanessa B Acevedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134180136 PECOS PAC ID: 4981609807 Enrollment ID: I20060928000220 |
| Provider Name | Jose A Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831130822 PECOS PAC ID: 3072696368 Enrollment ID: I20080211000017 |
| Provider Name | Nancy L Burgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528229150 PECOS PAC ID: 9133286578 Enrollment ID: I20090330000315 |
| Provider Name | Michiko Yamaguchi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194971226 PECOS PAC ID: 7810034808 Enrollment ID: I20091023000289 |
| Provider Name | James M Cherian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104981083 PECOS PAC ID: 4486798857 Enrollment ID: I20100223000549 |
| Provider Name | Pamela Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457493900 PECOS PAC ID: 3173702305 Enrollment ID: I20110120000482 |
| Provider Name | Michelle P Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124167267 PECOS PAC ID: 4688854151 Enrollment ID: I20110216000060 |
| Provider Name | Reuben G Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477877736 PECOS PAC ID: 3274717673 Enrollment ID: I20110408000613 |
| Provider Name | Sandy Plaza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497956494 PECOS PAC ID: 8628246501 Enrollment ID: I20110720000196 |
| Provider Name | Stephen A Terio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720049463 PECOS PAC ID: 4789853557 Enrollment ID: I20110811000721 |
| Provider Name | Gabrielle E Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609036904 PECOS PAC ID: 1254580327 Enrollment ID: I20121004000514 |
| Provider Name | John F Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366509424 PECOS PAC ID: 5193970853 Enrollment ID: I20130301000298 |
| Provider Name | Jaclyn Petrov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578878799 PECOS PAC ID: 5294982500 Enrollment ID: I20131220001689 |
| Provider Name | Ellie Jf Darmiento |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003976515 PECOS PAC ID: 2668602459 Enrollment ID: I20140221001397 |
| Provider Name | Ceraselia E. Hotar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447579768 PECOS PAC ID: 6507172244 Enrollment ID: I20150826001728 |
| Provider Name | Altagracia Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760721088 PECOS PAC ID: 3072891381 Enrollment ID: I20161020001052 |
| Provider Name | Mary A Wolford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538460142 PECOS PAC ID: 7315228152 Enrollment ID: I20170110000969 |
| Provider Name | Anna Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841475357 PECOS PAC ID: 3577846013 Enrollment ID: I20170208001041 |
| Provider Name | Valerie Stephanie Ziel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366757494 PECOS PAC ID: 7810263670 Enrollment ID: I20171023000646 |
| Provider Name | Laura Terio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427208792 PECOS PAC ID: 4981962990 Enrollment ID: I20171221000872 |
| Provider Name | Joana Laiwah Law |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730255662 PECOS PAC ID: 0941568661 Enrollment ID: I20171228002877 |
| Provider Name | Guadalupe P Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891949160 PECOS PAC ID: 3779841325 Enrollment ID: I20180103001792 |
| Provider Name | Kathy Nathalie Diaz-hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851539233 PECOS PAC ID: 0345582664 Enrollment ID: I20190506002536 |
| Provider Name | Shreya Mandal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477694974 PECOS PAC ID: 7012242332 Enrollment ID: I20190709002246 |
| Provider Name | Francine J. Melamed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508116831 PECOS PAC ID: 0244566693 Enrollment ID: I20190724000106 |
| Provider Name | Odetta Keane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881060531 PECOS PAC ID: 3678804929 Enrollment ID: I20191017001287 |
| Provider Name | Lorell E Berrios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518396076 PECOS PAC ID: 2466795455 Enrollment ID: I20210623000269 |
| Provider Name | Gianna L Ruddock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063847291 PECOS PAC ID: 1153722509 Enrollment ID: I20210623002501 |
| Provider Name | Michele Renee Lovell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740444108 PECOS PAC ID: 0840680542 Enrollment ID: I20211213002054 |
| Provider Name | Richard Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912020884 PECOS PAC ID: 0244322238 Enrollment ID: I20220322000978 |
| Provider Name | Hazel Branche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114648672 PECOS PAC ID: 8729450051 Enrollment ID: I20231013000580 |
Luc Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9701 66th Ave, Rego Park, NY 11374 Phone: 917-400-8354 | |
Tatyana Yuzbashyan Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97-01 66th Ave., Rego Park, NY 11374 Phone: 718-275-5200 Fax: 718-275-6864 | |
Raymond Tam, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9520 63rd Rd, Suite J, Rego Park, NY 11374 Phone: 718-459-1225 Fax: 718-459-5805 | |
Comprehensive Licensed Behavior Analyst, Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6264 Saunders St Apt D3, Rego Park, NY 11374 Phone: 646-623-9440 | |
Laura Amram Psychiatry Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95-20 63 Road, Suite O, Rego Park, NY 11374 Phone: 718-755-0656 Fax: 888-500-0406 | |
Doug Uhlig Psychological Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6344 Saunders St Ste 102, Rego Park, NY 11374 Phone: 917-617-6731 | |
Creative Licensed Behavior Analyst P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6262 Woodhaven Blvd Apt S34, Rego Park, NY 11374 Phone: 646-384-2385 |