| Mariah Carroll Hallbilsback, MA | |
|
4130 46th St 4b, Sunnyside, NY 11104-7063 | |
| (508) 561-4247 | |
| Not Available |
| Full Name | Mariah Carroll Hallbilsback |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4130 46th St 4b, Sunnyside, 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 |
|---|---|---|---|
| 1912489204 | NPI | - | NPPES |
| 095251-01 | Other | NY | LCSW |
| 107600-01 | Other | NY | LMSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 095251-01 (New York) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 107600-01 (New York) | Secondary |
| Entity Name | Catholic Charities Neighborhood Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548373921 PECOS PAC ID: 4880506260 Enrollment ID: O20031104000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Carroll Hallbilsback, MA 4130 46th St 4b, Sunnyside, NY 11104 Ph: (508) 561-4247 | Mariah Carroll Hallbilsback, MA 4130 46th St 4b, Sunnyside, NY 11104-7063 Ph: (508) 561-4247 |
Dora Glenn Bowman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3945 49th St, Sunnyside, NY 11104 Phone: 646-286-5835 | |
Thomas J Lorio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4215 43rd Ave, Apt E 25, Sunnyside, NY 11104 Phone: 914-564-1824 | |
Rebecca Kucker, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4755 39th Pl Apt 5e, Sunnyside, NY 11104 Phone: 151-676-5045 | |
Mayan Abecasis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4115 44th St Apt 6d, Sunnyside, NY 11104 Phone: 917-213-7918 | |
Gwen Rae Kiessling, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4823 42nd St Apt 7k, Sunnyside, NY 11104 Phone: 347-228-9026 | |
Kyle Michael Mcintosh, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4819 41st St, Sunnyside, NY 11104 Phone: 989-574-5854 | |
Elyza Ray Valerio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4404 Queens Blvd Fl 2, Sunnyside, NY 11104 Phone: 646-727-0276 |