| Queens Relationship Counseling Lcsw Pllc | |
|
14003 69th Ave Flushing NY 11367-1636 | |
| (917) 587-8853 | |
| Not Available |
| Full Name | Queens Relationship Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 14003 69th Ave, Flushing, New York |
| Authorized Official Name and Position | Loren Ecker (OWNER) |
| Authorized Official Contact | 9175878853 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Relationship Counseling Lcsw Pllc 14003 69th Ave Flushing NY 11367-1636 Ph: (917) 587-8853 | Queens Relationship Counseling Lcsw Pllc 14003 69th Ave Flushing NY 11367-1636 Ph: (917) 587-8853 |
| NPI Number | 1770218745 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Medicare PECOS PAC ID | 8426414400 |
|---|---|
| Medicare Enrollment ID | O20230517001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770218745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Loren Ecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700174992 PECOS PAC ID: 6507014198 Enrollment ID: I20120925000156 |
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