| Shiny Triangle LCSW PC | |
|
1171 Towne St Cincinnati OH 45216-2227 | |
| (212) 734-6621 | |
| Not Available |
| Full Name | Shiny Triangle LCSW PC |
|---|---|
| Speciality | Social Worker |
| Location | 1171 Towne St, Cincinnati, Ohio |
| Authorized Official Name and Position | Samuel Weiser (OWNER) |
| Authorized Official Contact | 8454250982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiny Triangle LCSW PC 254 Old Nyack Tpke Spring Valley NY 10977-5741 | Shiny Triangle LCSW PC 1171 Towne St Cincinnati OH 45216-2227 Ph: (212) 734-6621 |
| NPI Number | 1164175105 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 1254727480 |
|---|---|
| Medicare Enrollment ID | O20220414002466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164175105 | NPI | - | NPPES |
| Provider Name | Samuel Weiser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619421476 PECOS PAC ID: 3072907682 Enrollment ID: I20220224002335 |
| Provider Name | Aron Hirschfeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598382210 PECOS PAC ID: 9830543214 Enrollment ID: I20231004001173 |
| Provider Name | Kelly Darrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699866590 PECOS PAC ID: 3072968221 Enrollment ID: I20231009002644 |
| Provider Name | Eva Leven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679843841 PECOS PAC ID: 9638481369 Enrollment ID: I20240220002245 |
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