| Therapy Zone Licensed Clinical Social Work Services Pllc | |
|
3710 Richmond Ave Staten Island NY 10312-3848 | |
| (917) 974-1519 | |
| Not Available |
| Full Name | Therapy Zone Licensed Clinical Social Work Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3710 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Angela Mullane (OWNER) |
| Authorized Official Contact | 9179741519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Zone Licensed Clinical Social Work Services Pllc 3710 Richmond Ave Staten Island NY 10312-3848 Ph: (917) 974-1519 | Therapy Zone Licensed Clinical Social Work Services Pllc 3710 Richmond Ave Staten Island NY 10312-3848 Ph: (917) 974-1519 |
| NPI Number | 1073940706 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 1355692401 |
|---|---|
| Medicare Enrollment ID | O20231121000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073940706 | NPI | - | NPPES |
| Provider Name | Angela Mullane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598903593 PECOS PAC ID: 2264783315 Enrollment ID: I20231121000420 |
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