| Residential Psychotherapies,csw,pc | |
|
42 Old Northport Rd. Kings Park NY 11754 | |
| (631) 366-0417 | |
| Not Available |
| Full Name | Residential Psychotherapies,csw,pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 42 Old Northport Rd., Kings Park, New York |
| Authorized Official Name and Position | Richard Nemiroff (CEO) |
| Authorized Official Contact | 6313660417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residential Psychotherapies,csw,pc 42 Old Northport Rd. Kings Park NY 11754 Ph: (631) 366-0417 | Residential Psychotherapies,csw,pc 42 Old Northport Rd. Kings Park NY 11754 Ph: (631) 366-0417 |
| NPI Number | 1063437911 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 04/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063437911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | RO26799 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | R26799 (New York) | Primary |
Castle Counseling Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 75 Longfellow Dr, Kings Park, NY 11754 Phone: 516-313-2899 | |
Rachel Lynn Cunningham Lmsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 270 Juniper Rd, Kings Park, NY 11754 Phone: 631-469-4428 |