| Resilient Mind Licensed Clinical Social Work Services, Pc | |
|
204 25th St Ste 303 Brooklyn NY 11232-1527 | |
| (201) 844-3202 | |
| Not Available |
| Full Name | Resilient Mind Licensed Clinical Social Work Services, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 204 25th St Ste 303, Brooklyn, New York |
| Authorized Official Name and Position | Yana Shenker (OWNER) |
| Authorized Official Contact | 9173288175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Mind Licensed Clinical Social Work Services, Pc 1539 Bath Ave Apt 1 Brooklyn NY 11228-3820 Ph: (917) 328-8175 | Resilient Mind Licensed Clinical Social Work Services, Pc 204 25th St Ste 303 Brooklyn NY 11232-1527 Ph: (201) 844-3202 |
| NPI Number | 1871136564 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 10/24/2019 |
| Medicare PECOS PAC ID | 2466874805 |
|---|---|
| Medicare Enrollment ID | O20200612000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871136564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Yana Shenker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942635602 PECOS PAC ID: 0547513186 Enrollment ID: I20181029000536 |
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