| Visiting Counseling Services Lcsw, Pllc | |
|
3911 Avenue P Brooklyn NY 11234-3501 | |
| (718) 377-5003 | |
| (718) 377-5004 |
| Full Name | Visiting Counseling Services Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3911 Avenue P, Brooklyn, New York |
| Authorized Official Name and Position | Ethan Leichter (MANAGING MEMBER) |
| Authorized Official Contact | 7183775003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Counseling Services Lcsw, Pllc 3911 Avenue P Brooklyn NY 11234-3501 Ph: (718) 377-5003 | Visiting Counseling Services Lcsw, Pllc 3911 Avenue P Brooklyn NY 11234-3501 Ph: (718) 377-5003 |
| NPI Number | 1366071391 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 7416368212 |
|---|---|
| Medicare Enrollment ID | O20201130002832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366071391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ethan Leichter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174702815 PECOS PAC ID: 0143344010 Enrollment ID: I20100830000186 |
| Provider Name | Amorelle D Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710134119 PECOS PAC ID: 2466603634 Enrollment ID: I20121116000000 |
| Provider Name | Stacey N Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467512475 PECOS PAC ID: 8921107368 Enrollment ID: I20151130000792 |
| Provider Name | Malkie Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427717917 PECOS PAC ID: 9830585421 Enrollment ID: I20220407001212 |
| Provider Name | Lisa Robin Klein Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609496355 PECOS PAC ID: 0749669893 Enrollment ID: I20220620001305 |
| Provider Name | Yvonne Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306485263 PECOS PAC ID: 5395141733 Enrollment ID: I20221109001748 |
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