| The Community Couch Lcsw Pllc | |
|
116 West 23rd Street Suite 500 - Room 33 New York NY 10011 | |
| (347) 244-5989 | |
| Not Available |
| Full Name | The Community Couch Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 116 West 23rd Street, New York, New York |
| Authorized Official Name and Position | Melissa Flanagan (OWNER/ORIGINAL MEMBER) |
| Authorized Official Contact | 3472445989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community Couch Lcsw Pllc 6801 Shore Rd Apt 2c Brooklyn NY 11220-5026 Ph: (347) 517-5369 | The Community Couch Lcsw Pllc 116 West 23rd Street Suite 500 - Room 33 New York NY 10011 Ph: (347) 244-5989 |
| NPI Number | 1053081042 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Medicare PECOS PAC ID | 7719367101 |
|---|---|
| Medicare Enrollment ID | O20220701000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053081042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa M Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073188678 PECOS PAC ID: 8628458015 Enrollment ID: I20220701000339 |
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