| Kathleen Brown Mcnally, Lcsw, Pc | |
|
44 Walter Ave. Hicksville NY 11801-5345 | |
| (516) 313-0060 | |
| Not Available |
| Full Name | Kathleen Brown Mcnally, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 44 Walter Ave., Hicksville, New York |
| Authorized Official Name and Position | Kathleen Brown Mcnally (OWNER) |
| Authorized Official Contact | 5163130060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Brown Mcnally, Lcsw, Pc 44 Walter Ave. Hicksville NY 11801-5345 Ph: (516) 313-0060 | Kathleen Brown Mcnally, Lcsw, Pc 44 Walter Ave. Hicksville NY 11801-5345 Ph: (516) 313-0060 |
| NPI Number | 1447396080 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 5092717058 |
|---|---|
| Medicare Enrollment ID | O20070205000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447396080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R046916-1 (New York) | Primary |
| Provider Name | Kathleen Brown Mcnally |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639252281 PECOS PAC ID: 4385646348 Enrollment ID: I20070205000653 |
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