| Verge Lcsw Therapy | |
|
33 Henry St Beacon NY 12508-3006 | |
| (845) 603-2026 | |
| Not Available |
| Full Name | Verge Lcsw Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 33 Henry St, Beacon, New York |
| Authorized Official Name and Position | Kristen Verge (OWNER) |
| Authorized Official Contact | 9088926741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verge Lcsw Therapy 33 Henry St Beacon NY 12508-3006 Ph: () - | Verge Lcsw Therapy 33 Henry St Beacon NY 12508-3006 Ph: (845) 603-2026 |
| NPI Number | 1407501968 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/26/2022 |
| Certification Date | 02/26/2022 |
| Medicare PECOS PAC ID | 0345635835 |
|---|---|
| Medicare Enrollment ID | O20220321000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407501968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristen M Verge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962959429 PECOS PAC ID: 9133409626 Enrollment ID: I20161129000167 |
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