| Social Work Counseling Services Lcsw Pllc | |
|
2924 Hoyt Ave S Astoria NY 11102 | |
| (718) 721-0633 | |
| (718) 721-0699 |
| Full Name | Social Work Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2924 Hoyt Ave S, Astoria, New York |
| Authorized Official Name and Position | Shari P. Levin (OWNER) |
| Authorized Official Contact | 7187210633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Work Counseling Services Lcsw Pllc 2924 Hoyt Ave S Astoria NY 11102-1738 Ph: (718) 721-0633 | Social Work Counseling Services Lcsw Pllc 2924 Hoyt Ave S Astoria NY 11102 Ph: (718) 721-0633 |
| NPI Number | 1447349071 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 0941555239 |
|---|---|
| Medicare Enrollment ID | O20180608000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447349071 | NPI | - | NPPES |
| 02284751 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R046909-1 (New York) | Primary |
| Provider Name | Shari P Levin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821186131 PECOS PAC ID: 6002973914 Enrollment ID: I20090320000183 |
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