| William T. Lent, Lcsw, Llc | |
|
110 West 96th Street Suite# 1d New York NY 10025-6412 | |
| (646) 322-1582 | |
| Not Available |
| Full Name | William T. Lent, Lcsw, Llc |
|---|---|
| Speciality | Counselor |
| Location | 110 West 96th Street, New York, New York |
| Authorized Official Name and Position | William Thomas Lent (SOLE PROPRIETOR) |
| Authorized Official Contact | 6463221582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William T. Lent, Lcsw, Llc Po Box 331 Rhinebeck NY 12572-0331 Ph: (646) 322-1582 | William T. Lent, Lcsw, Llc 110 West 96th Street Suite# 1d New York NY 10025-6412 Ph: (646) 322-1582 |
| NPI Number | 1588844872 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 01/09/2015 |
| Medicare PECOS PAC ID | 5395832901 |
|---|---|
| Medicare Enrollment ID | O20071030000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588844872 | NPI | - | NPPES |
| 042325 | Other | NY | LCSW |
| 02550810 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 042325 (New York) | Primary |
| Provider Name | William T Lent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174516918 PECOS PAC ID: 9830173822 Enrollment ID: I20040616001278 |
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