| Dawn Friedland-perez, Lcsw, P.c. | |
|
8 Roosevelt Ave Port Jefferson Station NY 11776-3337 | |
| (631) 736-7707 | |
| Not Available |
| Full Name | Dawn Friedland-perez, Lcsw, P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 8 Roosevelt Ave, Port Jefferson Station, New York |
| Authorized Official Name and Position | Dawn Friedland-perez (LCSW) |
| Authorized Official Contact | 6313677077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Friedland-perez, Lcsw, P.c. 12 Woodstork Dr Mount Sinai NY 11766-3400 Ph: (631) 736-7707 | Dawn Friedland-perez, Lcsw, P.c. 8 Roosevelt Ave Port Jefferson Station NY 11776-3337 Ph: (631) 736-7707 |
| NPI Number | 1790711224 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2365494861 |
|---|---|
| Medicare Enrollment ID | O20050212000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790711224 | NPI | - | NPPES |
| 02532887 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dawn Friedland-perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558365023 PECOS PAC ID: 2961497151 Enrollment ID: I20040416001465 |
| Provider Name | Robin B Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215904537 PECOS PAC ID: 5698764884 Enrollment ID: I20040511001794 |
| Provider Name | Karolyn S Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023219599 PECOS PAC ID: 8527169267 Enrollment ID: I20070724000679 |
| Provider Name | Jill C Holstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669799227 PECOS PAC ID: 5092900282 Enrollment ID: I20101113000004 |
| Provider Name | Justina Coll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306024682 PECOS PAC ID: 5991947897 Enrollment ID: I20130806000021 |
| Provider Name | Audrey Devaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225662711 PECOS PAC ID: 8325456247 Enrollment ID: I20210414001242 |
| Provider Name | Ellen Jean Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780238725 PECOS PAC ID: 0749674786 Enrollment ID: I20220310000464 |
| Provider Name | Lisa Lorraine Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932349982 PECOS PAC ID: 6901285055 Enrollment ID: I20220620001417 |
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