| Sherry Hansen Lcsw Pc | |
|
31 Lincoln Dr Oakdale NY 11769-2128 | |
| (631) 764-7998 | |
| Not Available |
| Full Name | Sherry Hansen Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 31 Lincoln Dr, Oakdale, New York |
| Authorized Official Name and Position | Sherry Hansen (OWNER) |
| Authorized Official Contact | 6317647998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherry Hansen Lcsw Pc 31 Lincoln Dr Oakdale NY 11769-2128 Ph: (631) 764-7998 | Sherry Hansen Lcsw Pc 31 Lincoln Dr Oakdale NY 11769-2128 Ph: (631) 764-7998 |
| NPI Number | 1871271809 |
|---|---|
| Provider Enumeration Date | 07/10/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Medicare PECOS PAC ID | 4688026818 |
|---|---|
| Medicare Enrollment ID | O20240123003661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871271809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherry A Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306308127 PECOS PAC ID: 0244662815 Enrollment ID: I20191120000923 |
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