| Elizabeth Plate Lcsw Pllc | |
|
43 Scrub Oak Road Quogue NY 11959-1592 | |
| (516) 702-3013 | |
| (631) 693-6516 |
| Full Name | Elizabeth Plate Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 43 Scrub Oak Road, Quogue, New York |
| Authorized Official Name and Position | Elizabeth A Plate (CEO/OWNER) |
| Authorized Official Contact | 5167023013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Plate Lcsw Pllc Po Box 1592 Quogue NY 11959-1592 Ph: (516) 702-3013 | Elizabeth Plate Lcsw Pllc 43 Scrub Oak Road Quogue NY 11959-1592 Ph: (516) 702-3013 |
| NPI Number | 1639640642 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 8426397373 |
|---|---|
| Medicare Enrollment ID | O20190312000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639640642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Plate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174768204 PECOS PAC ID: 7911160890 Enrollment ID: I20120514000510 |
Psychological Alternatives, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Jessup Avenue, Second Floor, Quogue, NY 11959 Phone: 914-328-9119 Fax: 631-996-4615 | |
Barbara Ann Shultz, Phd, Psychologist, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Lamb Ave, Quogue, NY 11959 Phone: 631-379-9307 |