| Suffolk Family Therapy Lcsw Pc | |
|
606 Johnson Ave Ste 34 Bohemia NY 11716-2689 | |
| (631) 503-1539 | |
| Not Available |
| Full Name | Suffolk Family Therapy Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 606 Johnson Ave Ste 34, Bohemia, New York |
| Authorized Official Name and Position | Jamie K Vollmoeller (PRESIDENT) |
| Authorized Official Contact | 6315031539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suffolk Family Therapy Lcsw Pc 4109 Sunrise Hwy Bohemia NY 11716-4600 Ph: (531) 503-1539 | Suffolk Family Therapy Lcsw Pc 606 Johnson Ave Ste 34 Bohemia NY 11716-2689 Ph: (631) 503-1539 |
| NPI Number | 1356977177 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 01/20/2025 |
| Certification Date | 01/20/2025 |
| Medicare PECOS PAC ID | 1951826122 |
|---|---|
| Medicare Enrollment ID | O20250421001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356977177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jamie Vollmoeller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720432032 PECOS PAC ID: 5193066348 Enrollment ID: I20190416002032 |
Joseph Vollaro Phd Neuropsychologist Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1461 Lakeland Ave Unit 12, Bohemia, NY 11716 Phone: 631-732-4794 Fax: 631-732-0355 | |
Resilient Counseling Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4109 Sunrise Hwy, Bohemia, NY 11716 Phone: 631-503-1539 | |
Just 4 You Family Support Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Johnson Ave Ste 2, Bohemia, NY 11716 Phone: 631-575-8062 | |
Institute For Rational Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30 Floyds Run, Bohemia, NY 11716 Phone: 631-567-7760 Fax: 631-567-5172 | |
Fire Island Pines Psychotherapy Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Johnson Ave Ste 9, Bohemia, NY 11716 Phone: 631-201-9692 Fax: 631-203-9599 | |
Dynamic Pathways, Lcsw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Johnson Ave Ste C13, Bohemia, NY 11716 Phone: 631-960-8575 Fax: 631-315-1090 |