| Mrs Christina Denise Clemente, LCSW | |
|
485 Lockwood Dr, Shirley, NY 11967-1117 | |
| (917) 426-1074 | |
| Not Available |
| Full Name | Mrs Christina Denise Clemente |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 485 Lockwood Dr, Shirley, 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 |
|---|---|---|---|
| 1407592991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 093298 (New York) | Primary |
| Entity Name | Long Island Consultation Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295878577 PECOS PAC ID: 8729068622 Enrollment ID: O20040721001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christina Denise Clemente, LCSW 485 Lockwood Dr, Shirley, NY 11967-1117 Ph: (917) 426-1074 | Mrs Christina Denise Clemente, LCSW 485 Lockwood Dr, Shirley, NY 11967-1117 Ph: (917) 426-1074 |
Aimee B Meyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1070 Fax: 631-852-1119 | |
Ms. Linda Ann Santanello, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 464-10 William Floyd Parkway, Shirley, NY 11967 Phone: 631-399-9217 Fax: 631-399-9225 | |
Mr. Philip Joachim Antz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 470 Starlight Dr, Shirley, NY 11967 Phone: 631-345-6310 Fax: 631-775-6601 | |
Ashley Walker-dickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1070 Fax: 631-852-1119 | |
Jacquelyn M. Gilde, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 550 Montauk Hwy, Shirley, NY 11967 Phone: 631-852-1070 Fax: 631-852-1119 | |
Jay A Hart, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 91 Oak Ave, Shirley, NY 11967 Phone: 631-645-4262 | |
Patricia Jean Demeroto, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 76 Argyle Dr, Shirley, NY 11967 Phone: 520-256-8705 |