| Sallyann Ricciardi, Lcsw-r,pc | |
|
27 The Plaza, Suite B Locust Valley NY 11560 | |
| (516) 674-8588 | |
| (516) 671-2580 |
| Full Name | Sallyann Ricciardi, Lcsw-r,pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27 The Plaza, Suite B, Locust Valley, New York |
| Authorized Official Name and Position | Sallyann Ricciardi (OWNER) |
| Authorized Official Contact | 5166748588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallyann Ricciardi, Lcsw-r,pc 27 The Plaza, Suite B Locust Valley NY 11560 Ph: (516) 674-8588 | Sallyann Ricciardi, Lcsw-r,pc 27 The Plaza, Suite B Locust Valley NY 11560 Ph: (516) 674-8588 |
| NPI Number | 1952851164 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952851164 | NPI | - | NPPES |
| NPI1306985973 | Other | NY | MEDICARE |
| NT1401 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Kristen Whelan, Lcsw P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 The Plz Ste B, Locust Valley, NY 11560 Phone: 516-584-5105 |