| South Bay Counseling, Lcsw Pc | |
|
191 Broadway Amityville NY 11701-2790 | |
| (631) 264-0058 | |
| (631) 264-0056 |
| Full Name | South Bay Counseling, Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 191 Broadway, Amityville, New York |
| Authorized Official Name and Position | Elissa Grunblatt (PRESIDENT/OWNER) |
| Authorized Official Contact | 6312640058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Counseling, Lcsw Pc 191 Broadway Amityville NY 11701-2790 Ph: (631) 264-0058 | South Bay Counseling, Lcsw Pc 191 Broadway Amityville NY 11701-2790 Ph: (631) 264-0058 |
| NPI Number | 1992112510 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 05/05/2017 |
| Medicare PECOS PAC ID | 9335366392 |
|---|---|
| Medicare Enrollment ID | O20200731000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992112510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 069889 (New York) | Primary |
| Provider Name | Elissa S Grunblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417961426 PECOS PAC ID: 7315172426 Enrollment ID: I20131028000004 |
| Provider Name | Melissa Massimo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871091512 PECOS PAC ID: 5092125724 Enrollment ID: I20201106002403 |
| Provider Name | Kevin Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710318134 PECOS PAC ID: 7810304128 Enrollment ID: I20210405001282 |
Psychvisit Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 Broadway, Suite D, Amityville, NY 11701 Phone: 631-440-1010 Fax: 631-237-5818 | |
Hfy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Dixon Ave, Amityville, NY 11701 Phone: 631-691-5100 Fax: 631-842-7977 | |
Douglas F. Munsey Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Sunrise Hwy, Amityville, NY 11701 Phone: 631-608-5220 | |
Nassau County Marriage And Family Therapy Group, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Broadway, Amityville, NY 11701 Phone: 718-510-2170 | |
Seafield Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 John St, Amityville, NY 11701 Phone: 631-424-2900 Fax: 631-608-1057 | |
Halo Network, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Broadway, Suite 206, Amityville, NY 11701 Phone: 631-789-7373 Fax: 631-789-7383 | |
Harmony Mental Health Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Broadway Ste 16, Amityville, NY 11701 Phone: 631-579-2734 |