| Miss Marissa Petrosino, LCSW | |
|
46 Steel St, Auburn, NY 13021-4828 | |
| (315) 730-7677 | |
| Not Available |
| Full Name | Miss Marissa Petrosino |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 46 Steel St, Auburn, 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 |
|---|---|---|---|
| 1407312556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 095668 (New York) | Primary |
| Entity Name | Talkspace Medical Services Ny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790475556 PECOS PAC ID: 0143671966 Enrollment ID: O20240105002538 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Marissa Petrosino, LCSW 46 Steel St, Auburn, NY 13021-4828 Ph: (315) 730-7677 | Miss Marissa Petrosino, LCSW 46 Steel St, Auburn, NY 13021-4828 Ph: (315) 730-7677 |
Robert J Thomas, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-3255 | |
Ms. Sally Stormon, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-4316 | |
Ms. Alice E. Sweet Faatz, ATR, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-3255 | |
Susana Scotti, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Tuxill Sq, Auburn, NY 13021 Phone: 510-619-8754 | |
Ashley Wright, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1879 W Genesee Street Rd, Auburn, NY 13021 Phone: 315-704-4248 | |
Marc Homick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-3255 | |
Michael Edward Martin, MS, LCAT, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 |