| Angela Rita-farias Lcsw Pllc | |
|
104 S Division St 2b Peekskill NY 10566-3610 | |
| (914) 930-8922 | |
| (914) 930-8933 |
| Full Name | Angela Rita-farias Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 104 S Division St, Peekskill, New York |
| Authorized Official Name and Position | Angela Rita-farias (OWNER) |
| Authorized Official Contact | 9149308922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Rita-farias Lcsw Pllc 104 S Division St 2b Peekskill NY 10566-3610 Ph: (914) 930-8922 | Angela Rita-farias Lcsw Pllc 104 S Division St 2b Peekskill NY 10566-3610 Ph: (914) 930-8922 |
| NPI Number | 1285071316 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/30/2013 |
| Medicare PECOS PAC ID | 4183865421 |
|---|---|
| Medicare Enrollment ID | O20130729000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285071316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 070978 (New York) | Primary |
| Provider Name | Angela Rita-farias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003099680 PECOS PAC ID: 6608957865 Enrollment ID: I20080115000072 |
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