| Jennifer Ufko, Lcsw, Pllc | |
|
111 Smithtown Byp Ste 207 Hauppauge NY 11788-2512 | |
| (631) 374-5815 | |
| Not Available |
| Full Name | Jennifer Ufko, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 111 Smithtown Byp Ste 207, Hauppauge, New York |
| Authorized Official Name and Position | Jennifer Ufko (OWNER) |
| Authorized Official Contact | 6313745815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ufko, Lcsw, Pllc 86 Woody Ln Oakdale NY 11769-1539 Ph: () - | Jennifer Ufko, Lcsw, Pllc 111 Smithtown Byp Ste 207 Hauppauge NY 11788-2512 Ph: (631) 374-5815 |
| NPI Number | 1629471552 |
|---|---|
| Provider Enumeration Date | 10/06/2014 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 9234454315 |
|---|---|
| Medicare Enrollment ID | O20150212000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629471552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R070197-1 (New York) | Primary |
| Provider Name | Jennifer Ufko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215928395 PECOS PAC ID: 9436184298 Enrollment ID: I20050929000848 |
| Provider Name | Geralyn Santiago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801033022 PECOS PAC ID: 8527117332 Enrollment ID: I20090528000167 |
| Provider Name | Connie Ann Christin Lobalsamo Sorbie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407031776 PECOS PAC ID: 2466606793 Enrollment ID: I20130213000470 |
| Provider Name | Karen A Flanagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689090763 PECOS PAC ID: 6002138260 Enrollment ID: I20141126000040 |
| Provider Name | Melissa Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750829800 PECOS PAC ID: 2769875079 Enrollment ID: I20220209002162 |
| Provider Name | Kaitlyn E Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396331229 PECOS PAC ID: 6002255999 Enrollment ID: I20240411001561 |
| Provider Name | Jennifer Lopes David |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649850751 PECOS PAC ID: 7012454861 Enrollment ID: I20240730001547 |
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