| Joshua D Hendrickson Lcsw Pllc | |
|
1394 Roanoke Ave Ste A Riverhead NY 11901-2100 | |
| (631) 838-7183 | |
| Not Available |
| Full Name | Joshua D Hendrickson Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1394 Roanoke Ave Ste A, Riverhead, New York |
| Authorized Official Name and Position | Joshua Hendrickson (PROVIDER) |
| Authorized Official Contact | 6318387183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua D Hendrickson Lcsw Pllc 1394 Roanoke Ave Ste A Riverhead NY 11901-2100 Ph: (631) 838-7183 | Joshua D Hendrickson Lcsw Pllc 1394 Roanoke Ave Ste A Riverhead NY 11901-2100 Ph: (631) 838-7183 |
| NPI Number | 1659916278 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659916278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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