| Marie O'donnell, LCSW | |
|
1556 Straight Path, Wyandanch, NY 11798-3213 | |
| (516) 214-8020 | |
| (516) 214-8022 |
| Full Name | Marie O'donnell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1556 Straight Path, Wyandanch, 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 |
|---|---|---|---|
| 1265955850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 084685 (New York) | Primary |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Aid To The Developmentally Disabled Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912575762 PECOS PAC ID: 1658762182 Enrollment ID: O20211216002901 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie O'donnell, LCSW Po Box 5036, White Plains, NY 10602-5036 Ph: (516) 214-8020 | Marie O'donnell, LCSW 1556 Straight Path, Wyandanch, NY 11798-3213 Ph: (516) 214-8020 |
Jennifer Aldrich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240a Long Island Ave, Wyandanch, NY 11798 Phone: 631-669-5355 | |
Ms. Michelle Lauren Ganshaw, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 Long Island Ave, Wyandanch, NY 11798 Phone: 631-782-6200 | |
Ms. Delma Dawn Taylor, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Long Island Ave, Wyandanch, NY 11798 Phone: 631-920-8280 Fax: 631-920-8281 | |
Donna Klein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240a Long Island Ave, Wyandanch, NY 11798 Phone: 631-920-8250 Fax: 631-920-8258 | |
Ari Gabin, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 240a Long Island Ave, Wyandanch, NY 11798 Phone: 914-400-7225 | |
Jessica M Saxton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 240 Long Island Ave, Wyandanch, NY 11798 Phone: 631-782-6200 Fax: 631-491-5354 |