| Sambal Psychotherapy Lcsw Pllc | |
|
8003 246th St Bellerose NY 11426-1821 | |
| (646) 270-6223 | |
| Not Available |
| Full Name | Sambal Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8003 246th St, Bellerose, New York |
| Authorized Official Name and Position | Dolly Thomas (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6462706223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sambal Psychotherapy Lcsw Pllc 8003 246th St Bellerose NY 11426-1821 Ph: () - | Sambal Psychotherapy Lcsw Pllc 8003 246th St Bellerose NY 11426-1821 Ph: (646) 270-6223 |
| NPI Number | 1316687395 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Medicare PECOS PAC ID | 2668869942 |
|---|---|
| Medicare Enrollment ID | O20220505001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316687395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Dolly Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154725026 PECOS PAC ID: 6103239504 Enrollment ID: I20210104000193 |
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