| Clinical, Consultation And Supervision Services Lcsw Pllc | |
|
3510 Bainbridge Ave Apt S1 Bronx NY 10467-1419 | |
| (917) 653-8972 | |
| (888) 812-4062 |
| Full Name | Clinical, Consultation And Supervision Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3510 Bainbridge Ave Apt S1, Bronx, New York |
| Authorized Official Name and Position | Dominique Nerestan (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9176538972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical, Consultation And Supervision Services Lcsw Pllc 319 Tonetta Lake Rd Brewster NY 10509-4134 Ph: (845) 893-4948 | Clinical, Consultation And Supervision Services Lcsw Pllc 3510 Bainbridge Ave Apt S1 Bronx NY 10467-1419 Ph: (917) 653-8972 |
| NPI Number | 1629329438 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629329438 | NPI | - | NPPES |
| R063179 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R063179 (New York) | Primary |
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