| Consulting Care LCSW, PLLC | |
|
912 Pelham Pkwy S Bronx NY 10462-1102 | |
| (917) 708-9777 | |
| (866) 274-4236 |
| Full Name | Consulting Care LCSW, PLLC |
|---|---|
| Speciality | Social Worker |
| Location | 912 Pelham Pkwy S, Bronx, New York |
| Authorized Official Name and Position | Jose a Candelario-carmona (PRESIDENT) |
| Authorized Official Contact | 9177089777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consulting Care LCSW, PLLC Po Box 608 Bronx NY 10456-0521 Ph: (917) 708-9777 | Consulting Care LCSW, PLLC 912 Pelham Pkwy S Bronx NY 10462-1102 Ph: (917) 708-9777 |
| NPI Number | 1366971004 |
|---|---|
| Provider Enumeration Date | 06/07/2017 |
| Last Update Date | 06/07/2017 |
| Medicare PECOS PAC ID | 1456751817 |
|---|---|
| Medicare Enrollment ID | O20210607003237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366971004 | NPI | - | NPPES |
| 039590620 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Jose A. Candelario-carmona Jr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811202096 PECOS PAC ID: 5597982900 Enrollment ID: I20140808000481 |
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