| Lcsw Psychotherapy, Pc. | |
|
813 Maple St Fl 2 Brooklyn NY 11203-1312 | |
| (347) 244-7258 | |
| (718) 940-4610 |
| Full Name | Lcsw Psychotherapy, Pc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 813 Maple St Fl 2, Brooklyn, New York |
| Authorized Official Name and Position | John Paul Mcqueen (PRESIDENT/OWNER) |
| Authorized Official Contact | 3472447258 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lcsw Psychotherapy, Pc. 813 Maple St Brooklyn NY 11203-1312 Ph: (347) 244-7258 | Lcsw Psychotherapy, Pc. 813 Maple St Fl 2 Brooklyn NY 11203-1312 Ph: (347) 244-7258 |
| NPI Number | 1356770275 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 11/01/2013 |
| Medicare PECOS PAC ID | 3870831480 |
|---|---|
| Medicare Enrollment ID | O20190206001675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356770275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R042761-1 (New York) | Primary |
| Provider Name | John Mcqueen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396819868 PECOS PAC ID: 5991793010 Enrollment ID: I20040505001213 |
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