| Calming Waters Lcsw | |
|
1560 Westview Dr Mattituck NY 11952-2950 | |
| (631) 655-5171 | |
| Not Available |
| Full Name | Calming Waters Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 1560 Westview Dr, Mattituck, New York |
| Authorized Official Name and Position | Lisa Moscato (OWNER) |
| Authorized Official Contact | 6316555171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calming Waters Lcsw Po Box 1228 Mattituck NY 11952-0922 Ph: () - | Calming Waters Lcsw 1560 Westview Dr Mattituck NY 11952-2950 Ph: (631) 655-5171 |
| NPI Number | 1699599746 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 5799210423 |
|---|---|
| Medicare Enrollment ID | O20241119000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699599746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Moscato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316565153 PECOS PAC ID: 9537503743 Enrollment ID: I20240215002553 |
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