| Aiyana Smith, LCSW | |
|
211 Church St, Southampton, NY 11968-1196 | |
| (631) 343-5632 | |
| Not Available |
| Full Name | Aiyana Smith |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 211 Church St, Southampton, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669983219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 104100000X | Social Worker | 094249-1 (New York) | Secondary |
| Entity Name | Community Counseling & Lcsw Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770819690 PECOS PAC ID: 3577605617 Enrollment ID: O20100127000665 |
| Entity Name | Valera Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
| Entity Name | New York Medical Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235600834 PECOS PAC ID: 9234537879 Enrollment ID: O20211012001003 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Aiyana Smith, LCSW 26 Hill St Ste 114, Southampton, NY 11968-5317 Ph: (631) 209-7815 | Aiyana Smith, LCSW 211 Church St, Southampton, NY 11968-1196 Ph: (631) 343-5632 |
Mrs. Patricia June Mott-intermaggio, RLCSW, CASAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Newberry Ln, Southampton, NY 11968 Phone: 631-287-0087 Fax: 631-287-0087 | |
Ms. Anita S. Rosenshine, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 533 David Whites Ln, Southampton, NY 11968 Phone: 631-287-7021 Fax: 631-287-7337 | |
Maureen Dervin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 97 Breese Ln, Southampton, NY 11968 Phone: 631-283-5798 | |
Harriet M Cohen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Ocean View Pkwy, Southampton, NY 11968 Phone: 516-449-6266 | |
Ms. Monica A Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 134 Saint Andrews Circle, Southampton, NY 11968 Phone: 631-287-2813 | |
Mrs. Linda S. Marks-potash, R-LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 74 Wooleys Drive, Southampton, NY 11968 Phone: 631-287-3021 Fax: 631-287-3021 | |
Maureen Coley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 335 Meeting House Ln # B, Southampton, NY 11968 Phone: 631-287-5990 Fax: 631-287-5995 |