| Mrs Elizabeth P Degrocco, LCSW-R | |
| 
					1490 William Floyd Pkwy, East Yaphank, NY 11967-1820  | |
| (631) 924-3741 | |
| (631) 924-2413 | 
| Full Name | Mrs Elizabeth P Degrocco | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 1490 William Floyd Pkwy, East Yaphank, 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 | 
|---|---|---|---|
| 1619096427 | NPI | - | NPPES | 
| 00659412 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 069536-1 (New York) | Primary | 
| Entity Name | Long Island Elder Care Lcsw Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295763852 PECOS PAC ID: 8224038286 Enrollment ID: O20061222000230  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Elizabeth P Degrocco, LCSW-R 790 Park Ave, Huntington, NY 11743-4516 Ph: (631) 427-3700  | Mrs Elizabeth P Degrocco, LCSW-R 1490 William Floyd Pkwy, East Yaphank, NY 11967-1820 Ph: (631) 924-3741  | 
Ms. Sharnisha Lichele Wheeler, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Colin Drive, Suite 1, East Yaphank, NY 11967 Phone: 631-205-5820 Fax: 631-205-5826  | |
Mrs. Alison Lamonica, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 William Floyd Pkwy, East Yaphank, NY 11967 Phone: 631-924-3741 Fax: 631-924-2413  | |
Ms. Tara Justine Mchugh, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Colin Drive, East Yaphank, NY 11967 Phone: 631-205-2820 Fax: 631-205-5826  | |
Mrs. Evelyn G Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 William Floyd Parkway, East Yaphank, NY 11967 Phone: 631-924-3741  | |
Mr. Tomas Gonzalez, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 William Floyd Pkwy., Family Service League, East Yaphank, NY 11967 Phone: 631-924-3741  | |
Mrs. Doreen Lorraine Fratello, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1490 William Floyd Parkway, Suite 108, East Yaphank, NY 11967 Phone: 631-924-3741 Fax: 631-924-2413  |