| Ascending Psychotherapy-pw Lcsw Pc | |
|
14722 Village Rd Apt 82b Jamaica NY 11435-6307 | |
| (917) 224-5793 | |
| Not Available |
| Full Name | Ascending Psychotherapy-pw Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 14722 Village Rd Apt 82b, Jamaica, New York |
| Authorized Official Name and Position | Pamela Wallace (OWNER) |
| Authorized Official Contact | 9172245793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascending Psychotherapy-pw Lcsw Pc 14722 Village Rd Apt 82b Jamaica NY 11435-6307 Ph: (917) 224-5793 | Ascending Psychotherapy-pw Lcsw Pc 14722 Village Rd Apt 82b Jamaica NY 11435-6307 Ph: (917) 224-5793 |
| NPI Number | 1427563014 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7517205818 |
|---|---|
| Medicare Enrollment ID | O20190212001990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427563014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 075520 (New York) | Primary |
| Provider Name | Pamela Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457493900 PECOS PAC ID: 3173702305 Enrollment ID: I20110120000482 |
The Child Center Of New York Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8956 162nd St, 2nd Floor, Jamaica, NY 11432 Phone: 718-657-7100 | |
Interline Eap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14839 Hillside Ave, Jamaica, NY 11435 Phone: 718-206-1368 | |
Creative Behavioral Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 Parsons Blvd, Jamaica, NY 11432 Phone: 718-938-1256 | |
The Child Center Of Ny Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10835 157th St, Room 121 D, Jamaica, NY 11433 Phone: 718-659-4000 | |
Muse Psychiatry Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10743 79th St, Jamaica, NY 11417 Phone: 929-331-4223 | |
Queens Centers For Progress Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8115 164th St, Jamaica, NY 11432 Phone: 718-380-3000 Fax: 718-969-5426 | |
Lets Talk Wellness Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14728 Hillside Ave, 2nd Floor, Jamaica, NY 11435 Phone: 914-407-2707 |