| Lisa Fogel Lcsw Pllc | |
|
5 Falconbridge Dr Pittsford NY 14534-1016 | |
| (585) 474-0356 | |
| (585) 244-8351 |
| Full Name | Lisa Fogel Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5 Falconbridge Dr, Pittsford, New York |
| Authorized Official Name and Position | Lisa A Fogel (OWNER) |
| Authorized Official Contact | 5854740356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Fogel Lcsw Pllc 5 Falconbridge Dr Pittsford NY 14534-1016 Ph: (585) 474-0356 | Lisa Fogel Lcsw Pllc 5 Falconbridge Dr Pittsford NY 14534-1016 Ph: (585) 474-0356 |
| NPI Number | 1912523929 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Medicare PECOS PAC ID | 8123483211 |
|---|---|
| Medicare Enrollment ID | O20230425000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912523929 | NPI | - | NPPES |
| Provider Name | Lisa A Fogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427296342 PECOS PAC ID: 7810030566 Enrollment ID: I20100204000000 |
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