| Christian & Gordon Lcsw Pllc | |
|
14719 Linden Blvd Jamaica NY 11436-1127 | |
| (718) 313-8357 | |
| Not Available |
| Full Name | Christian & Gordon Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 14719 Linden Blvd, Jamaica, New York |
| Authorized Official Name and Position | Lydia Arlene Christian (OWNER) |
| Authorized Official Contact | 7183138357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian & Gordon Lcsw Pllc 14719 Linden Blvd Jamaica NY 11436-1127 Ph: (718) 313-8357 | Christian & Gordon Lcsw Pllc 14719 Linden Blvd Jamaica NY 11436-1127 Ph: (718) 313-8357 |
| NPI Number | 1639989320 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Medicare PECOS PAC ID | 9436670304 |
|---|---|
| Medicare Enrollment ID | O20250307000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639989320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lydia Christian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194236695 PECOS PAC ID: 0345761219 Enrollment ID: I20250307001032 |
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