Transitions Counseling Services Lcsw Pllc | |
22 Lawrence Ave Ste 211 Smithtown NY 11787-3619 | |
(631) 360-2223 | |
(631) 360-2288 |
Full Name | Transitions Counseling Services Lcsw Pllc |
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Speciality | Social Worker |
Location | 22 Lawrence Ave Ste 211, Smithtown, New York |
Authorized Official Name and Position | Lawrence Keating (OWNER) |
Authorized Official Contact | 6313605346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Transitions Counseling Services Lcsw Pllc 22 Lawrence Ave Ste 211 Smithtown NY 11787-3619 Ph: (631) 360-2223 | Transitions Counseling Services Lcsw Pllc 22 Lawrence Ave Ste 211 Smithtown NY 11787-3619 Ph: (631) 360-2223 |
NPI Number | 1417635582 |
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Provider Enumeration Date | 07/10/2023 |
Last Update Date | 07/11/2023 |
Certification Date | 07/11/2023 |
Medicare PECOS PAC ID | 0446796015 |
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Medicare Enrollment ID | O20240719002248 |
Identifier | Type | State | Issuer |
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1417635582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lawrence Keating |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437211471 PECOS PAC ID: 3173412632 Enrollment ID: I20040312000456 |
Provider Name | Antonietta Bruccoleri |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700497195 PECOS PAC ID: 4688110109 Enrollment ID: I20240722000050 |
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