| Michelle Listens Lcsw, Pc | |
|
350 Veterans Memorial Hwy Ste 2 Commack NY 11725-4316 | |
| (516) 344-7975 | |
| Not Available |
| Full Name | Michelle Listens Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 350 Veterans Memorial Hwy Ste 2, Commack, New York |
| Authorized Official Name and Position | Michelle Delevante (OWNER) |
| Authorized Official Contact | 5163447975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Listens Lcsw, Pc 85 Fairfield Way Apt 5 Commack NY 11725-3426 Ph: (516) 344-7975 | Michelle Listens Lcsw, Pc 350 Veterans Memorial Hwy Ste 2 Commack NY 11725-4316 Ph: (516) 344-7975 |
| NPI Number | 1437817350 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 1759759814 |
|---|---|
| Medicare Enrollment ID | O20221121001649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437817350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle L Delevante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871633057 PECOS PAC ID: 3678654076 Enrollment ID: I20080111000048 |
| Provider Name | Stacy F Messmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790074920 PECOS PAC ID: 9638571698 Enrollment ID: I20210713002642 |
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