Impact Lcsw Counseling Services, Pc in Lake Grove - Clinical
Impact Lcsw Counseling Services, Pc - NPI 1972522902
Impact Lcsw Counseling Services, Pc is a Clinical in Lake Grove, New York. Impact Lcsw Counseling Services, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Impact Lcsw Counseling Services, Pc is 1972522902. The last update date is 2020-08-22.
Impact Lcsw Counseling Services, Pc's current location address is 2760 Middle Country Rd, Lake Grove, New York. You can contact this provider via phone number 6314673181 and fax number 6314673185. The mailing address for Impact Lcsw Counseling Services, Pc is 2760 Middle Country Rd, Lake Grove, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Impact Lcsw Counseling Services, Pc |
|---|---|
| Address | 2760 Middle Country Rd, Lake Grove, New York |
| Phone Number | 6314673181 |
| Fax Number | 6314673185 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/CLINIC |
|---|---|
| Authorized Official Name | Brunjes A Carol |
| Credentials | LCSW-R |
| Telephone Number | 6314673181 |
NPI Number Detail
| NPI Number | 1972522902 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2760 Middle Country Rd |
|---|---|
| City | Lake Grove |
| State | New York (NY) |
| Post Code | 117552113 |
| Phone Number | 6314673181 |
| Fax Number | 6314673185 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R043837-1 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11569751 | NY | CAQH | |
| 2756912 | NY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Impact Lcsw Counseling Services, Pc by the Centers for Medicare & Medicaid Services?
The Impact Lcsw Counseling Services, Pc has been issued the NPI (National Provider Identifier) 1972522902. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Impact Lcsw Counseling Services, Pc is physically located?
The Impact Lcsw Counseling Services, Pc is situated at the following address: 2760 Middle Country Rd, Lake Grove, NY 117552113.
What is Impact Lcsw Counseling Services, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Impact Lcsw Counseling Services, Pc is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did the Impact Lcsw Counseling Services, Pc receive its 1972522902?
The Impact Lcsw Counseling Services, Pc was issued its 1972522902 on 2006-07-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Impact Lcsw Counseling Services, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Impact Lcsw Counseling Services, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.