| Turning Point Therapy, Lcsw, Pc | |
|
1050 Hallock Ave Ste 2 Port Jefferson Station NY 11776-1214 | |
| (631) 793-9517 | |
| Not Available |
| Full Name | Turning Point Therapy, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1050 Hallock Ave Ste 2, Port Jefferson Station, New York |
| Authorized Official Name and Position | Michelle Hofman (PRESIDENT) |
| Authorized Official Contact | 6317939517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Turning Point Therapy, Lcsw, Pc 1050 Hallock Ave Ste 2 Port Jefferson Station NY 11776-1214 Ph: () - | Turning Point Therapy, Lcsw, Pc 1050 Hallock Ave Ste 2 Port Jefferson Station NY 11776-1214 Ph: (631) 793-9517 |
| NPI Number | 1154808459 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 5799035614 |
|---|---|
| Medicare Enrollment ID | O20180913001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154808459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle A Hofman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851522429 PECOS PAC ID: 2163658527 Enrollment ID: I20131114000185 |
| Provider Name | Carissa Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528447711 PECOS PAC ID: 5193131555 Enrollment ID: I20210309002446 |
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