Systemic Psychotherapy Lcsw, Pllc
LBN: Systemic Psychotherapy Lcsw, Pllc
Systemic Psychotherapy Lcsw, Pllc is an health care organization with primary practice located at 420 Westchester Ave # 2B , Port Chester NY 10573-3600. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Systemic Psychotherapy Lcsw, Pllc can be contacted via phone (203) 970-4738, or through Ott, Andrea via phone (203) 970-4738.
Contact Information
Primary practice address
420 Westchester Ave # 2B
Port Chester NY 10573-3600
Phone: (203) 970-4738
Fax:
Website:
Authorized official contact:
Name: Ott, Andrea Licensed Clinical Social Worker (LCSW)
Phone: (203) 970-4738
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1710605167 |
|---|---|
| LBN Legal business name | Systemic Psychotherapy Lcsw, Pllc |
| DBA Doing business as | |
| Authorized official | Ott, Andrea Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 19th, 2022 |
| Last updated | Aug 19th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710605167 | NPPES |
| New York | MEDICAID | 06296166 |
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