| Mrs Michelle Wilsusen, | |
|
2277 Grand Ave, Baldwin, NY 11510-3148 | |
| (516) 377-5400 | |
| Not Available |
| Full Name | Mrs Michelle Wilsusen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2277 Grand Ave, Baldwin, 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 |
|---|---|---|---|
| 1992032593 | NPI | - | NPPES |
| 01764850 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 078022 (New York) | Primary |
| 104100000X | Social Worker | 076326 (New York) | Secondary |
| Entity Name | Nassau Guidance Counseling & Licensed Clinical Social Work Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609923515 PECOS PAC ID: 1658408448 Enrollment ID: O20100428000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle Wilsusen, 2277 Grand Ave, Baldwin, NY 11510-3148 Ph: (516) 377-5400 | Mrs Michelle Wilsusen, 2277 Grand Ave, Baldwin, NY 11510-3148 Ph: (516) 377-5400 |
Mrs. Karen Elizabeth Zimmerman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Grand Ave, Baldwin, NY 11510 Phone: 516-546-1370 | |
Katherine Lichter, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 664 Merrick Rd, Baldwin, NY 11510 Phone: 631-258-9598 | |
Ms. Lynn Broder, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Grand Ave, Baldwin, NY 11510 Phone: 516-377-5000 Fax: 516-377-5490 | |
Ms. Arlene Sessa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Church St, Baldwin, NY 11510 Phone: 516-546-1771 Fax: 516-623-5880 | |
Ms. Claudia Rotondo, LCSW, MSWAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Church St, Baldwin, NY 11510 Phone: 516-546-1771 Fax: 516-623-5880 | |
Ms. Toby Karen Ostar, CSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Grand Ave, Baldwin, NY 11510 Phone: 516-377-5400 Fax: 516-377-5490 | |
Ms. Jennifer L Eng, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2277 Grand Ave, Baldwin, NY 11510 Phone: 516-546-1370 |