| Visiting Counselors Of New York, Lcsw, Pllc | |
|
900 Walt Whitman Rd Ste Ll1 Melville NY 11747 | |
| (516) 698-5511 | |
| (516) 418-5377 |
| Full Name | Visiting Counselors Of New York, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 900 Walt Whitman Rd Ste Ll1, Melville, New York |
| Authorized Official Name and Position | Russell Chertok (OWNER) |
| Authorized Official Contact | 5166985511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Counselors Of New York, Lcsw, Pllc 900 Walt Whitman Rd Ste Ll1 Melville NY 11747-2215 Ph: (516) 698-5511 | Visiting Counselors Of New York, Lcsw, Pllc 900 Walt Whitman Rd Ste Ll1 Melville NY 11747 Ph: (516) 698-5511 |
| NPI Number | 1669906889 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 4688932106 |
|---|---|
| Medicare Enrollment ID | O20171211001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669906889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 085396-1 (New York) | Primary |
| Provider Name | Laura Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083711949 PECOS PAC ID: 1456346006 Enrollment ID: I20040414002013 |
| Provider Name | Angelina Graziosi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104005750 PECOS PAC ID: 5991790040 Enrollment ID: I20040417000385 |
| Provider Name | Michele C Albano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568542157 PECOS PAC ID: 0840286043 Enrollment ID: I20040422001347 |
| Provider Name | Frances V Iasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467625855 PECOS PAC ID: 3577546977 Enrollment ID: I20040608000710 |
| Provider Name | Wendy S Baur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740037795 PECOS PAC ID: 3072569672 Enrollment ID: I20050328000253 |
| Provider Name | Veronica M Mcgoldrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861578932 PECOS PAC ID: 9537179254 Enrollment ID: I20060426000181 |
| Provider Name | Lisa D Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346293321 PECOS PAC ID: 0648281006 Enrollment ID: I20060522000132 |
| Provider Name | Gracy Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891975504 PECOS PAC ID: 0648301275 Enrollment ID: I20100626000012 |
| Provider Name | Cathy J Robins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619932563 PECOS PAC ID: 6103095328 Enrollment ID: I20110804000364 |
| Provider Name | Maria Middendorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184933707 PECOS PAC ID: 0042442691 Enrollment ID: I20140414000167 |
| Provider Name | Lauren B Rothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255639670 PECOS PAC ID: 5092033431 Enrollment ID: I20150414002098 |
| Provider Name | Kristen Ciaravolo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548518160 PECOS PAC ID: 6800116468 Enrollment ID: I20150521001075 |
| Provider Name | Alan Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124406194 PECOS PAC ID: 5395024319 Enrollment ID: I20161115002695 |
| Provider Name | Erica J Whitehurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144767443 PECOS PAC ID: 6709160203 Enrollment ID: I20170301000720 |
| Provider Name | Lynn M Marrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598197527 PECOS PAC ID: 1658641675 Enrollment ID: I20170725001957 |
| Provider Name | Leeann Barbara Grasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639562754 PECOS PAC ID: 8921364746 Enrollment ID: I20171113000083 |
| Provider Name | Russell J Chertok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851631782 PECOS PAC ID: 9537427638 Enrollment ID: I20171219001773 |
| Provider Name | Nicole L Filiou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780974030 PECOS PAC ID: 6204198559 Enrollment ID: I20180326001504 |
| Provider Name | Stacey Marrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356617005 PECOS PAC ID: 4284997123 Enrollment ID: I20180406000885 |
| Provider Name | Jean Treglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841609005 PECOS PAC ID: 5991068314 Enrollment ID: I20180418001539 |
| Provider Name | Geraldine Blanco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730524588 PECOS PAC ID: 0042574162 Enrollment ID: I20180425002552 |
| Provider Name | Kathleen M Raiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861981045 PECOS PAC ID: 7416212667 Enrollment ID: I20180517002629 |
| Provider Name | Jessie C Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578056412 PECOS PAC ID: 0648526202 Enrollment ID: I20180712000144 |
| Provider Name | Jon L Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659863868 PECOS PAC ID: 6103172655 Enrollment ID: I20180713000369 |
| Provider Name | Aviv Winer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578046744 PECOS PAC ID: 5294087292 Enrollment ID: I20181002002236 |
| Provider Name | Maureen Lambe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073174041 PECOS PAC ID: 5092041244 Enrollment ID: I20190725000680 |
| Provider Name | Elissa B Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023434701 PECOS PAC ID: 8820325814 Enrollment ID: I20190814001300 |
| Provider Name | Francesca Rossi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841456340 PECOS PAC ID: 1850723065 Enrollment ID: I20191108001708 |
| Provider Name | Marissa Vicari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710495981 PECOS PAC ID: 7214369016 Enrollment ID: I20191116000117 |
| Provider Name | Chelsea G Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184199580 PECOS PAC ID: 9739511536 Enrollment ID: I20191116000213 |
| Provider Name | Hee Nyoung Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457996159 PECOS PAC ID: 2860829660 Enrollment ID: I20200217000629 |
| Provider Name | Tida W Stricoff-calma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356974745 PECOS PAC ID: 0143659458 Enrollment ID: I20200408002603 |
| Provider Name | Gracianna R Etcheverry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356697700 PECOS PAC ID: 6305276791 Enrollment ID: I20200427001745 |
| Provider Name | Kerrie A Pelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548732639 PECOS PAC ID: 1153745278 Enrollment ID: I20200722002673 |
| Provider Name | Lauren B Barillaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245789627 PECOS PAC ID: 0345669826 Enrollment ID: I20201002000020 |
| Provider Name | Maritza J Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750608493 PECOS PAC ID: 8729484928 Enrollment ID: I20210914002549 |
| Provider Name | Vanessa Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538570320 PECOS PAC ID: 3476944950 Enrollment ID: I20211216001092 |
| Provider Name | Abigail L Kaske |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376034678 PECOS PAC ID: 9234520735 Enrollment ID: I20211216001784 |
| Provider Name | Lauri Ann Balter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538818125 PECOS PAC ID: 1456748276 Enrollment ID: I20220426002486 |
| Provider Name | Elizabeth P Balzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093431702 PECOS PAC ID: 6709253289 Enrollment ID: I20221114001796 |
| Provider Name | Stephanie Koutsoftas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255070124 PECOS PAC ID: 2668842402 Enrollment ID: I20230112000204 |
| Provider Name | Ashley A Petito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366169120 PECOS PAC ID: 9830560119 Enrollment ID: I20230124002544 |
| Provider Name | Robert L Prochnow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689388308 PECOS PAC ID: 6103297361 Enrollment ID: I20230125003352 |
| Provider Name | Jeffrey R Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316960107 PECOS PAC ID: 2860863933 Enrollment ID: I20230127001892 |
| Provider Name | Lucia Jamaluddin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275248957 PECOS PAC ID: 2365814183 Enrollment ID: I20230203001936 |
| Provider Name | Anita Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386019586 PECOS PAC ID: 9234595406 Enrollment ID: I20230512000740 |
| Provider Name | Teresa M Luongo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013218577 PECOS PAC ID: 9830555879 Enrollment ID: I20230518000247 |
| Provider Name | Samantha M Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356875124 PECOS PAC ID: 6709249428 Enrollment ID: I20230829002254 |
| Provider Name | Aliza Lennon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104465814 PECOS PAC ID: 4789030479 Enrollment ID: I20231101001997 |
| Provider Name | Daisy Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295230977 PECOS PAC ID: 0446607394 Enrollment ID: I20231114002462 |
| Provider Name | Jill Rosenberg-smath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982753828 PECOS PAC ID: 5496104622 Enrollment ID: I20231213000140 |
| Provider Name | Julia D Dorleus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346341161 PECOS PAC ID: 7012369739 Enrollment ID: I20240118002168 |
| Provider Name | Olivia B Holden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790291961 PECOS PAC ID: 5799138269 Enrollment ID: I20240131003654 |
| Provider Name | John G Woolley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033989546 PECOS PAC ID: 2668818493 Enrollment ID: I20240314002400 |
| Provider Name | Leeann K Medina-martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851141709 PECOS PAC ID: 8921447954 Enrollment ID: I20240423002821 |
| Provider Name | Jennifer H Tranquille |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669135513 PECOS PAC ID: 3870932965 Enrollment ID: I20240424000848 |
| Provider Name | Pamela Lepore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275149650 PECOS PAC ID: 0345680526 Enrollment ID: I20240506000532 |
| Provider Name | Pamela J Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154566875 PECOS PAC ID: 0143502138 Enrollment ID: I20240607002877 |
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