| Kim Schwartz Lcsw Pllc | |
|
380 Route 202 Somers NY 10589-3222 | |
| (914) 669-8126 | |
| (914) 669-5165 |
| Full Name | Kim Schwartz Lcsw Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 380 Route 202, Somers, New York |
| Authorized Official Name and Position | Katherine (kim) Schwartz (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9145844510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Schwartz Lcsw Pllc 380 Route 202 Somers NY 10589-3222 Ph: () - | Kim Schwartz Lcsw Pllc 380 Route 202 Somers NY 10589-3222 Ph: (914) 669-8126 |
| NPI Number | 1396040119 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Medicare PECOS PAC ID | 6204014228 |
|---|---|
| Medicare Enrollment ID | O20110622000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396040119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 075766 (New York) | Primary |
| Provider Name | Katherine Kim Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205054186 PECOS PAC ID: 4587764105 Enrollment ID: I20070712000046 |
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