| Swm Lcsw Practice | |
|
28 Ridge Ct Hauppauge NY 11788-4749 | |
| (631) 774-0913 | |
| Not Available |
| Full Name | Swm Lcsw Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 28 Ridge Ct, Hauppauge, New York |
| Authorized Official Name and Position | Stephanie Mckinney (OWNER) |
| Authorized Official Contact | 6317740913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swm Lcsw Practice 28 Ridge Ct Hauppauge NY 11788-4749 Ph: (631) 774-0913 | Swm Lcsw Practice 28 Ridge Ct Hauppauge NY 11788-4749 Ph: (631) 774-0913 |
| NPI Number | 1720887540 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720887540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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