| Social Butterflies Psychotherapy Lcsw Pllc | |
|
7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2699 | |
| (917) 773-7637 | |
| (718) 228-2845 |
| Full Name | Social Butterflies Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7405 Metropolitan Ave Ste 2f, Middle Village, New York |
| Authorized Official Name and Position | Luz Mariel Oviedo (OWNER) |
| Authorized Official Contact | 9177737637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Butterflies Psychotherapy Lcsw Pllc 7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2699 Ph: (917) 773-7637 | Social Butterflies Psychotherapy Lcsw Pllc 7405 Metropolitan Ave Ste 2f Middle Village NY 11379-2699 Ph: (917) 773-7637 |
| NPI Number | 1215459920 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 1052835659 |
|---|---|
| Medicare Enrollment ID | O20250404000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215459920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 079283 (New York) | Primary |
| Provider Name | Luz M Oviedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033305982 PECOS PAC ID: 1355503574 Enrollment ID: I20120507000040 |
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