| North Shore Insight Lcsw Pllc | |
|
50 Glen St Ste 311 Glen Cove NY 11542-2701 | |
| (929) 324-7717 | |
| Not Available |
| Full Name | North Shore Insight Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 50 Glen St Ste 311, Glen Cove, New York |
| Authorized Official Name and Position | Rosemary Oconnor (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6315241111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Insight Lcsw Pllc 17 Tradewinds Dr Bayville NY 11709-3013 Ph: (631) 524-1111 | North Shore Insight Lcsw Pllc 50 Glen St Ste 311 Glen Cove NY 11542-2701 Ph: (929) 324-7717 |
| NPI Number | 1063108082 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 2567980303 |
|---|---|
| Medicare Enrollment ID | O20250515002773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063108082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rosemary Ellen Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700343217 PECOS PAC ID: 2860874641 Enrollment ID: I20220727001621 |
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