| Home Visit Psychotherapy And Counseling Service, Pllc | |
|
12 Lorraine St Syosset NY 11791-6709 | |
| (516) 935-0562 | |
| (845) 340-7314 |
| Full Name | Home Visit Psychotherapy And Counseling Service, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Lorraine St, Syosset, New York |
| Authorized Official Name and Position | Debra Mallin (PRESIDENT) |
| Authorized Official Contact | 5169350562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Visit Psychotherapy And Counseling Service, Pllc 12 Lorraine St Syosset NY 11791-6709 Ph: (516) 935-0562 | Home Visit Psychotherapy And Counseling Service, Pllc 12 Lorraine St Syosset NY 11791-6709 Ph: (516) 935-0562 |
| NPI Number | 1700156718 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 02/14/2012 |
| Medicare PECOS PAC ID | 2163680554 |
|---|---|
| Medicare Enrollment ID | O20120214000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700156718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0522251 (New York) | Primary |
| Provider Name | Debra Mallin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982749651 PECOS PAC ID: 8729037452 Enrollment ID: I20050119000941 |
| Provider Name | Melissa I Bokser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972868297 PECOS PAC ID: 4587894746 Enrollment ID: I20140310000025 |
| Provider Name | Hillary B Lagnado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144633249 PECOS PAC ID: 9234354044 Enrollment ID: I20140711001296 |
| Provider Name | Barbara Ann Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073030490 PECOS PAC ID: 3678833118 Enrollment ID: I20180201001656 |
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