| Richard S. Collie Lcsw Pllc | |
|
352 7th Ave Suite 1001 New York NY 10001-5012 | |
| (917) 232-7259 | |
| (718) 709-7471 |
| Full Name | Richard S. Collie Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 352 7th Ave, New York, New York |
| Authorized Official Name and Position | Richard S. Collie (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9172327259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S. Collie Lcsw Pllc 716 Ocean Ave #19 Brooklyn NY 11226-5383 Ph: (917) 232-7259 | Richard S. Collie Lcsw Pllc 352 7th Ave Suite 1001 New York NY 10001-5012 Ph: (917) 232-7259 |
| NPI Number | 1164828851 |
|---|---|
| Provider Enumeration Date | 11/07/2014 |
| Last Update Date | 11/07/2014 |
| Medicare PECOS PAC ID | 9032436761 |
|---|---|
| Medicare Enrollment ID | O20150318000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164828851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R-080045-1 (New York) | Primary |
| Provider Name | Richard S. Collie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083767412 PECOS PAC ID: 3678798915 Enrollment ID: I20140701000040 |
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