Support Evaluation and Intervention Services LCSW PC
Support Evaluation and Intervention Services LCSW PC is a Clinical Social Worker in Corona, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4035 Junction BlvdCorona, NY 11368-2121
Phone: (917) 995-3773
Fax: (212) 656-1412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 080647-1 (NY) |
|---|
Record details
| NPI number | 1790185395 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karina Pena-Toledo — President · (917) 995-3773 |
| NPI enumerated | September 2, 2014 |
| Last updated in NPPES | March 10, 2017 |
| Mailing address | 4035 Junction Blvd, Corona, NY 11368-2121 |
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