| Rankines Psychotherapy Counseling Services Lcsw Pllc | |
|
11019 155th St Jamaica NY 11433-3617 | |
| (917) 669-4297 | |
| (866) 617-7394 |
| Full Name | Rankines Psychotherapy Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Counselor |
| Location | 11019 155th St, Jamaica, New York |
| Authorized Official Name and Position | Cassandra Rankine (OWNER) |
| Authorized Official Contact | 9176694297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rankines Psychotherapy Counseling Services Lcsw Pllc 11019 155th St Jamaica NY 11433-3617 Ph: (917) 669-4297 | Rankines Psychotherapy Counseling Services Lcsw Pllc 11019 155th St Jamaica NY 11433-3617 Ph: (917) 669-4297 |
| NPI Number | 1033729249 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 7113332446 |
|---|---|
| Medicare Enrollment ID | O20210219000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033729249 | NPI | - | NPPES |
| 03545631 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cassandra M Rankine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215297726 PECOS PAC ID: 4789955519 Enrollment ID: I20170811002381 |
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