| Sandra Demopoulos, Lcswr, Pllc | |
|
199 Main St White Plains NY 10601-3200 | |
| (914) 661-2680 | |
| (914) 948-3960 |
| Full Name | Sandra Demopoulos, Lcswr, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 199 Main St, White Plains, New York |
| Authorized Official Name and Position | Michele Firpo-cappiello (ADMIN ASSISTANT) |
| Authorized Official Contact | 9144731892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Demopoulos, Lcswr, Pllc 199 Main St White Plains NY 10601-3200 Ph: (914) 661-2680 | Sandra Demopoulos, Lcswr, Pllc 199 Main St White Plains NY 10601-3200 Ph: (914) 661-2680 |
| NPI Number | 1780339929 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 6002281193 |
|---|---|
| Medicare Enrollment ID | O20230403001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780339929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra H Demopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164698288 PECOS PAC ID: 5193991230 Enrollment ID: I20111220000664 |
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