| Jermaine Hill Lcsw Family Services Pc | |
|
60 Bay St Ste 710 Staten Island NY 10301-2541 | |
| (347) 881-3407 | |
| (718) 816-0048 |
| Full Name | Jermaine Hill Lcsw Family Services Pc |
|---|---|
| Speciality | Social Worker |
| Location | 60 Bay St Ste 710, Staten Island, New York |
| Authorized Official Name and Position | Jermaine K Hill (CEO) |
| Authorized Official Contact | 3478813407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jermaine Hill Lcsw Family Services Pc 67 Railroad Ave Staten Island NY 10305-4734 Ph: (718) 689-2950 | Jermaine Hill Lcsw Family Services Pc 60 Bay St Ste 710 Staten Island NY 10301-2541 Ph: (347) 881-3407 |
| NPI Number | 1881170959 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 07/12/2018 |
| Medicare PECOS PAC ID | 2163769449 |
|---|---|
| Medicare Enrollment ID | O20190124000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881170959 | NPI | - | NPPES |
| 1366739641 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 086300-1 (New York) | Primary |
| Provider Name | Jermaine K Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366739641 PECOS PAC ID: 9234470717 Enrollment ID: I20190410001474 |
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