Shiny Triangle Lcsw Pc | |
1171 Towne St Cincinnati OH 45216-2227 | |
(212) 734-6621 | |
Not Available |
Full Name | Shiny Triangle Lcsw Pc |
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Speciality | Social Worker |
Location | 1171 Towne St, Cincinnati, Ohio |
Authorized Official Name and Position | Samuel Weiser (OWNER) |
Authorized Official Contact | 8454250982 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shiny Triangle Lcsw Pc 254 Old Nyack Tpke Spring Valley NY 10977-5741 Ph: () - | Shiny Triangle Lcsw Pc 1171 Towne St Cincinnati OH 45216-2227 Ph: (212) 734-6621 |
NPI Number | 1164175105 |
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Provider Enumeration Date | 01/31/2022 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Medicare PECOS PAC ID | 1254727480 |
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Medicare Enrollment ID | O20220414002466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164175105 | NPI | - | NPPES |
Provider Name | Samuel Weiser |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619421476 PECOS PAC ID: 3072907682 Enrollment ID: I20220224002335 |
Provider Name | Aron Hirschfeld |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598382210 PECOS PAC ID: 9830543214 Enrollment ID: I20231004001173 |
Provider Name | Kelly Darrow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699866590 PECOS PAC ID: 3072968221 Enrollment ID: I20231009002644 |
Provider Name | Eva Leven |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1679843841 PECOS PAC ID: 9638481369 Enrollment ID: I20240220002245 |
Provider Name | Amy Rachel November |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1194581611 PECOS PAC ID: 8123464393 Enrollment ID: I20240311000620 |
Provider Name | Sydjea M Green |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750004248 PECOS PAC ID: 2961848197 Enrollment ID: I20240311002597 |
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