| Marconi Integrative Therapy, Lcsw Pllc | |
|
511 Pulaski Rd Apt Suite East Northport NY 11731-2139 | |
| (631) 455-1884 | |
| Not Available |
| Full Name | Marconi Integrative Therapy, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 511 Pulaski Rd Apt Suite, East Northport, New York |
| Authorized Official Name and Position | Melissa Marconi (OWNER) |
| Authorized Official Contact | 8004266937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marconi Integrative Therapy, Lcsw Pllc 511 Pulaski Rd Apt Suite East Northport NY 11731-2139 Ph: (631) 455-1884 | Marconi Integrative Therapy, Lcsw Pllc 511 Pulaski Rd Apt Suite East Northport NY 11731-2139 Ph: (631) 455-1884 |
| NPI Number | 1437962180 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Medicare PECOS PAC ID | 1355871641 |
|---|---|
| Medicare Enrollment ID | O20250217001756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437962180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Marconi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639738701 PECOS PAC ID: 2264962554 Enrollment ID: I20250217001908 |
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