| Mindful Therapy Lcsw, Pllc | |
|
2171 Jericho Turnpike Suite 335 Commack NY 11725 | |
| (631) 486-7788 | |
| Not Available |
| Full Name | Mindful Therapy Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2171 Jericho Turnpike, Commack, New York |
| Authorized Official Name and Position | Janis Hoffman (OWNER) |
| Authorized Official Contact | 9175961040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy Lcsw, Pllc 5 Priory Ct Melville NY 11747-3914 Ph: (917) 596-1040 | Mindful Therapy Lcsw, Pllc 2171 Jericho Turnpike Suite 335 Commack NY 11725 Ph: (631) 486-7788 |
| NPI Number | 1275014136 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Medicare PECOS PAC ID | 8527306281 |
|---|---|
| Medicare Enrollment ID | O20190205003008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275014136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R058833-1 (New York) | Primary |
| Provider Name | Tracie Theotokas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477621704 PECOS PAC ID: 7618075789 Enrollment ID: I20070613000530 |
| Provider Name | Janis A Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184983835 PECOS PAC ID: 7810150976 Enrollment ID: I20120530000127 |
| Provider Name | Elizabeth Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659921682 PECOS PAC ID: 9335471770 Enrollment ID: I20191104002670 |
| Provider Name | Zarie Sedigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790316982 PECOS PAC ID: 3476982364 Enrollment ID: I20200327001465 |
| Provider Name | Christina Morrone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982208823 PECOS PAC ID: 7719390236 Enrollment ID: I20201230000925 |
| Provider Name | Donna Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285106229 PECOS PAC ID: 3577959493 Enrollment ID: I20220401000739 |
| Provider Name | Elizabeth Archey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013488592 PECOS PAC ID: 2567839020 Enrollment ID: I20221114000778 |
| Provider Name | Corine Francesca Patti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043782766 PECOS PAC ID: 3577927565 Enrollment ID: I20230908002635 |
| Provider Name | Georgia Koutouzis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265943989 PECOS PAC ID: 7315392511 Enrollment ID: I20231009000293 |
| Provider Name | Rebecca Hladky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992266472 PECOS PAC ID: 1850825381 Enrollment ID: I20241106003157 |
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David L. Kreitzman, M.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 283 Commack Rd, Suite 101, Commack, NY 11725 Phone: 631-462-7774 | |
Mateer Orthodontics Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Commack Rd Ste 102, Commack, NY 11725 Phone: 631-462-1970 | |
Psychological Restorative Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 283 Commack Rd Ste 210, Commack, NY 11725 Phone: 631-499-7500 | |
Janis Hoffman Lcsw ,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke Ste 335, Commack, NY 11725 Phone: 917-596-1040 |