| Stephanie Traver, Lcsw, Psychotherapy Services P.l.l.c. | |
|
664 Ridge St Peekskill NY 10566-5518 | |
| (631) 371-8795 | |
| (509) 283-1009 |
| Full Name | Stephanie Traver, Lcsw, Psychotherapy Services P.l.l.c. |
|---|---|
| Speciality | Social Worker |
| Location | 664 Ridge St, Peekskill, New York |
| Authorized Official Name and Position | Stephanie Traver (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6313714512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Traver, Lcsw, Psychotherapy Services P.l.l.c. 664 Ridge St Peekskill NY 10566-5518 Ph: (631) 371-8795 | Stephanie Traver, Lcsw, Psychotherapy Services P.l.l.c. 664 Ridge St Peekskill NY 10566-5518 Ph: (631) 371-8795 |
| NPI Number | 1356023774 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 7012362569 |
|---|---|
| Medicare Enrollment ID | O20231018002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356023774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Louise Traver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679019384 PECOS PAC ID: 5890068175 Enrollment ID: I20170908000024 |
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