| Robin F. Burnett, Lcsw, Pllc | |
|
5832 69th Ave Ridgewood NY 11385-5038 | |
| (718) 628-4466 | |
| Not Available |
| Full Name | Robin F. Burnett, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5832 69th Ave, Ridgewood, New York |
| Authorized Official Name and Position | Robin F Burnett (OWNER) |
| Authorized Official Contact | 7186284466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin F. Burnett, Lcsw, Pllc 5832 69th Ave Ridgewood NY 11385-5038 Ph: (718) 628-4466 | Robin F. Burnett, Lcsw, Pllc 5832 69th Ave Ridgewood NY 11385-5038 Ph: (718) 628-4466 |
| NPI Number | 1700521903 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Certification Date | 05/02/2022 |
| Medicare PECOS PAC ID | 4880074442 |
|---|---|
| Medicare Enrollment ID | O20220629002467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700521903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Robin F Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578629333 PECOS PAC ID: 2961576715 Enrollment ID: I20080729000124 |
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