| Senior Living Behavioral Health Lcsw Pllc | |
|
747 3rd Ave 2nd Floor New York NY 10017-2803 | |
| (800) 829-0115 | |
| Not Available |
| Full Name | Senior Living Behavioral Health Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 747 3rd Ave, New York, New York |
| Authorized Official Name and Position | Bruce Brotter (SOLE MBR) |
| Authorized Official Contact | 8008290115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Living Behavioral Health Lcsw Pllc 747 3rd Ave 2nd Floor New York NY 10017-2803 Ph: (800) 829-0115 | Senior Living Behavioral Health Lcsw Pllc 747 3rd Ave 2nd Floor New York NY 10017-2803 Ph: (800) 829-0115 |
| NPI Number | 1083150056 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 01/13/2017 |
| Medicare PECOS PAC ID | 9931482247 |
|---|---|
| Medicare Enrollment ID | O20170213000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083150056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New York) | Primary |
| Provider Name | Mark A Zilberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629133723 PECOS PAC ID: 7012815780 Enrollment ID: I20031219000656 |
| Provider Name | Moira K Ahearne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548409766 PECOS PAC ID: 9638169790 Enrollment ID: I20040512001398 |
| Provider Name | Lori A Duke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730369521 PECOS PAC ID: 2668463134 Enrollment ID: I20040522000009 |
| Provider Name | Robin L James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780740621 PECOS PAC ID: 2163470188 Enrollment ID: I20050106000578 |
| Provider Name | Nancy C Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356393938 PECOS PAC ID: 2567404940 Enrollment ID: I20050525000979 |
| Provider Name | Alanna Roemer-koke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386770097 PECOS PAC ID: 4284663329 Enrollment ID: I20050809000317 |
| Provider Name | Stacy L Kanen-green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598777955 PECOS PAC ID: 6103929872 Enrollment ID: I20070319000053 |
| Provider Name | Lisa Gatti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194890608 PECOS PAC ID: 0244328417 Enrollment ID: I20071126000018 |
| Provider Name | Sally Ruocco Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487895769 PECOS PAC ID: 8729137146 Enrollment ID: I20090514000170 |
| Provider Name | Donna C Bjorkman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003055450 PECOS PAC ID: 4587714993 Enrollment ID: I20090605000276 |
| Provider Name | Linda M Babolcsay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871608984 PECOS PAC ID: 3779532114 Enrollment ID: I20100505000181 |
| Provider Name | Carol Savelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851545107 PECOS PAC ID: 2860521010 Enrollment ID: I20100526000324 |
| Provider Name | Caroline F Borden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699884759 PECOS PAC ID: 3779777057 Enrollment ID: I20101101000221 |
| Provider Name | Daphne J Gerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124359377 PECOS PAC ID: 0042483356 Enrollment ID: I20111102000362 |
| Provider Name | Becky J Lloyd-lester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144323411 PECOS PAC ID: 6608011895 Enrollment ID: I20130315000400 |
| Provider Name | Angela Monuszko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235366022 PECOS PAC ID: 0840454526 Enrollment ID: I20130413000093 |
| Provider Name | Lisa C Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023448404 PECOS PAC ID: 6002137411 Enrollment ID: I20150610000438 |
| Provider Name | Paul W Zampieron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134343973 PECOS PAC ID: 1355632753 Enrollment ID: I20160615000347 |
| Provider Name | Alan Booth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124406194 PECOS PAC ID: 5395024319 Enrollment ID: I20161115002695 |
| Provider Name | Erica J Whitehurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144767443 PECOS PAC ID: 6709160203 Enrollment ID: I20170301000720 |
| Provider Name | Arthur Weiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235672643 PECOS PAC ID: 2769766898 Enrollment ID: I20170308002311 |
| Provider Name | Pamela Zuccarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689112195 PECOS PAC ID: 7113201112 Enrollment ID: I20170310000223 |
| Provider Name | Catherine M. Anastas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336542018 PECOS PAC ID: 8527343102 Enrollment ID: I20170322000671 |
| Provider Name | Jennifer Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154858462 PECOS PAC ID: 2567731169 Enrollment ID: I20170712002985 |
| Provider Name | Linda K Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790715779 PECOS PAC ID: 1052384955 Enrollment ID: I20171127001669 |
| Provider Name | Amber Rennie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669857769 PECOS PAC ID: 1658630090 Enrollment ID: I20180110003536 |
| Provider Name | Karen S Chiel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679077341 PECOS PAC ID: 0941563381 Enrollment ID: I20180417001077 |
| Provider Name | Jean Treglia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841609005 PECOS PAC ID: 5991068314 Enrollment ID: I20180418001539 |
| Provider Name | Joan Sass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356546139 PECOS PAC ID: 7911260278 Enrollment ID: I20180419000399 |
| Provider Name | Cynthia Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013411461 PECOS PAC ID: 0345504452 Enrollment ID: I20180425001966 |
| Provider Name | Novena J Riojas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255611265 PECOS PAC ID: 5698039436 Enrollment ID: I20180503000709 |
| Provider Name | Kim E Pomeroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447371661 PECOS PAC ID: 0143584995 Enrollment ID: I20180503001149 |
| Provider Name | Mary Zagari Kampf Macleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336529973 PECOS PAC ID: 2567714496 Enrollment ID: I20181004000391 |
| Provider Name | Lisa A Couperus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376055442 PECOS PAC ID: 0648531202 Enrollment ID: I20181010001494 |
| Provider Name | Stephanie Jackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679721468 PECOS PAC ID: 4082968276 Enrollment ID: I20181106001461 |
| Provider Name | Robin J Mozarsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255893624 PECOS PAC ID: 5799027900 Enrollment ID: I20190508000828 |
| Provider Name | Pamela Gershowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932342086 PECOS PAC ID: 7113250713 Enrollment ID: I20190613002608 |
| Provider Name | Jacqueline Blatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679803969 PECOS PAC ID: 9335473297 Enrollment ID: I20190626001703 |
| Provider Name | Nisha C Manglani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477024172 PECOS PAC ID: 3971837543 Enrollment ID: I20190702001108 |
| Provider Name | Tida W Stricoff-calma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356974745 PECOS PAC ID: 0143659458 Enrollment ID: I20200408002603 |
| Provider Name | Catherine Amory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962675629 PECOS PAC ID: 5991136988 Enrollment ID: I20200506002702 |
| Provider Name | Alexander V Drakontaidis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487000410 PECOS PAC ID: 1557787157 Enrollment ID: I20200813000732 |
| Provider Name | Corinne A Giuliani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174120273 PECOS PAC ID: 3274944798 Enrollment ID: I20201204000118 |
| Provider Name | Stephanie Ann Wayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700200094 PECOS PAC ID: 8628293321 Enrollment ID: I20210107001753 |
| Provider Name | Lois Cartica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194396051 PECOS PAC ID: 2365846995 Enrollment ID: I20210804002312 |
| Provider Name | Robert Gary Rosenthal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831769959 PECOS PAC ID: 1557765401 Enrollment ID: I20210813002581 |
| Provider Name | Heather Kunkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124394507 PECOS PAC ID: 8820334287 Enrollment ID: I20211202002237 |
| Provider Name | Olivia Pinsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881728863 PECOS PAC ID: 7416344874 Enrollment ID: I20220504000119 |
| Provider Name | Alisa Ahern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366989576 PECOS PAC ID: 6709262611 Enrollment ID: I20220929003367 |
| Provider Name | Lisa List |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245952522 PECOS PAC ID: 5890162689 Enrollment ID: I20221108002032 |
| Provider Name | Alessandra Waylon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811447469 PECOS PAC ID: 4587034558 Enrollment ID: I20230109001043 |
| Provider Name | Stephanie Koutsoftas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255070124 PECOS PAC ID: 2668842402 Enrollment ID: I20230112000204 |
| Provider Name | Meghan Cibelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326424458 PECOS PAC ID: 5890169759 Enrollment ID: I20230316001956 |
| Provider Name | Fabiola O Reid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497159735 PECOS PAC ID: 5496129694 Enrollment ID: I20230329000962 |
| Provider Name | Teresa M Luongo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013218577 PECOS PAC ID: 9830555879 Enrollment ID: I20230518000247 |
| Provider Name | Christina T Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750786372 PECOS PAC ID: 8921454729 Enrollment ID: I20231031002059 |
| Provider Name | Stephanie Kresser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962941500 PECOS PAC ID: 7719336205 Enrollment ID: I20231208002387 |
| Provider Name | Jill Rosenberg-smath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982753828 PECOS PAC ID: 5496104622 Enrollment ID: I20231213000140 |
| Provider Name | Deborah Moskovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679943062 PECOS PAC ID: 0345699526 Enrollment ID: I20231213002034 |
| Provider Name | Elizabeth May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174034144 PECOS PAC ID: 3577914878 Enrollment ID: I20240111001518 |
| Provider Name | Silvia Shenouda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205355583 PECOS PAC ID: 9436593795 Enrollment ID: I20240215000674 |
| Provider Name | David Goldfarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396014957 PECOS PAC ID: 1951742097 Enrollment ID: I20240507003861 |
| Provider Name | Amanda C Bernhard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790237246 PECOS PAC ID: 4486190766 Enrollment ID: I20240723002021 |
| Provider Name | Jennifer Elder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972753846 PECOS PAC ID: 6103359179 Enrollment ID: I20241029003021 |
| Provider Name | Marianne Sponholz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346853611 PECOS PAC ID: 5294260238 Enrollment ID: I20241127001325 |
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