| Ms Marie C Beauregard-weiss, LCSW | |
| 2078 Richmond Ave, Staten Island, NY 10314-3916 | |
| (917) 470-0284 | |
| (352) 293-3137 | 
| Full Name | Ms Marie C Beauregard-weiss | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 2078 Richmond Ave, Staten Island, 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 | 
|---|---|---|---|
| 1134217508 | NPI | - | NPPES | 
| 02455636 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 050794 (New York) | Primary | 
| Entity Name | Marie Beauregard Weiss Lcsw Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891186029 PECOS PAC ID: 7012235724 Enrollment ID: O20240513002565 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Marie C Beauregard-weiss, LCSW 10501 Woodland Waters Blvd, Weeki Wachee, FL 34613-6410 Ph: (917) 470-0284 | Ms Marie C Beauregard-weiss, LCSW 2078 Richmond Ave, Staten Island, NY 10314-3916 Ph: (917) 470-0284 | 
| Michelle Louise Bosco, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Slosson Ter, Staten Island, NY 10301 Phone: 718-720-6727 Fax: 718-720-0326 | |
| Mrs. Hollace Merrill Beer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Grissom Ave, Staten Island, NY 10314 Phone: 718-698-6903 | |
| Mr. Edward S Wallach, LCSW, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673 Stewart Avenue, Staten Island, NY 10314 Phone: 718-698-1795 Fax: 718-698-9357 | |
| Mr. Frank Arthur Raimondo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 Garretson Ave, Staten Island, NY 10305 Phone: 718-698-3222 | |
| Steven Scher, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 82 Hart Blvd, Staten Island, NY 10301 Phone: 718-727-2901 Fax: 718-727-2901 | |
| Ms. Lisbeth Horn, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201 Bryson Ave, Staten Island, NY 10314 Phone: 718-442-1636 Fax: 718-442-1636 | |
| Ms. Rosemarie Gaeta, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 416 Crown Ave, Staten Island, NY 10312 Phone: 718-356-8881 Fax: 718-356-1997 |