| Ms Jennifer Fazio, LMSW | |
|
2233 Nesconset Hwy, Suite 104, Lake Grove, NY 11755-1000 | |
| (631) 737-5559 | |
| (631) 737-0001 |
| Full Name | Ms Jennifer Fazio |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2233 Nesconset Hwy, Lake Grove, 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 |
|---|---|---|---|
| 1245635259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 091960 (New York) | Primary |
| Entity Name | Dr Donna Riley Office Of Licensed Clinical Social Work Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811649833 PECOS PAC ID: 6507253754 Enrollment ID: O20220419000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Fazio, LMSW 2233 Nesconset Hwy, Suite 104, Lake Grove, NY 11755-1000 Ph: (631) 737-5559 | Ms Jennifer Fazio, LMSW 2233 Nesconset Hwy, Suite 104, Lake Grove, NY 11755-1000 Ph: (631) 737-5559 |
Mario Brajuha, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy, Lake Grove, NY 11755 Phone: 631-737-5559 Fax: 631-737-0001 | |
Angie Pashalis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy Ste 104, Lake Grove, NY 11755 Phone: 631-737-5559 Fax: 631-737-0001 | |
Ms. Giuditta D Esposito, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Sycamore Ave, Lake Grove, NY 11755 Phone: 631-676-5808 | |
Seth Chandler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2233 Nesconset Hwy Ste 201, Lake Grove, NY 11755 Phone: 631-603-8518 | |
Ms. Melissa Coyle, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Pond Path, Lake Grove, NY 11755 Phone: 631-988-8656 | |
Mr. Joseph B. Mccarthy, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2780 Middle Country Rd, Suite 306, Lake Grove, NY 11755 Phone: 631-764-5591 |