| Second Chance Counseling Pllc | |
|
480 Route 17m Fl 1 Middletown NY 10940-4525 | |
| (845) 341-8008 | |
| (732) 244-1005 |
| Full Name | Second Chance Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 480 Route 17m Fl 1, Middletown, New York |
| Authorized Official Name and Position | Patricia R De Jesus (PROVIDER) |
| Authorized Official Contact | 8453418008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Counseling Pllc 29 Dogwood Dr Middletown NY 10940-1801 Ph: (845) 341-8008 | Second Chance Counseling Pllc 480 Route 17m Fl 1 Middletown NY 10940-4525 Ph: (845) 341-8008 |
| NPI Number | 1265190094 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Medicare PECOS PAC ID | 6002207719 |
|---|---|
| Medicare Enrollment ID | O20220106000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265190094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patricia R Dejesus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083217954 PECOS PAC ID: 0547674210 Enrollment ID: I20210121001179 |
| Provider Name | Jasmine Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629638739 PECOS PAC ID: 4587026067 Enrollment ID: I20230815003896 |
Rockland Psychiatric Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Dorothea Dix Dr, Middletown, NY 10940 Phone: 845-343-6686 | |
John T Sloma, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Midway Park Dr, Suite 4, Middletown, NY 10940 Phone: 845-341-1134 Fax: 845-986-8994 | |
Mary Lerouge Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 Route 17m, Middletown, NY 10940 Phone: 845-391-3812 | |
De Trinity Community Living Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Gordon Rd, Middletown, NY 10941 Phone: 646-400-4562 | |
M Lavian Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 129 Wickham Ave, Middletown, NY 10940 Phone: 845-341-1805 Fax: 845-342-9218 | |
David J. Miranda, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 720 Route 17m, Middletown, NY 10940 Phone: 845-320-2330 | |
Access: Supports For Living Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Fortune Rd W, Middletown, NY 10941 Phone: 845-692-4454 Fax: 845-692-8887 |