MEDICARE: PROACTIVE COUNSELING LCSW P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	078617	NY

General Provider Information

NPI Number	:	1700318847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROACTIVE COUNSELING LCSW P.C.

Provider Business Mailing Address
First Line	:	446 WALTON ST
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3051
Country	:	US
Telephone Number	:	917-826-1644
Fax Number	:	516-704-2058

Provider Business Practice Location Address
First Line	:	775 BROOKLYN AVE
Second Line	:
City	:	NORTH BALDWIN
State	:	NY
Zip	:	11510-2948
Country	:	US
Telephone Number	:	917-826-1644
Fax Number	:	516-704-2058

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LEA M BORISKIN
Credential	:	LCSW
Telephone Number	:	917-826-1644

Provider Enumeration Date	:	03/29/2017
Last Update Date	:	03/29/2017

Similar Medicare Providers

1386705523 — MR. NEIL HENRY LCSW
Practice Location Address:

775 BROOKLYN AVE , SUITE 112
NORTH BALDWIN, NY
11510-2948

Practice Phone: 516-868-0444
Practice Fax: 516-868-0444

1215237250 — MS. TOBY GANELES LCSW
Practice Location Address:

775 BROOKLYN AVE
NORTH BALDWIN, NY
11510-2948

Practice Phone: 516-331-1521
Practice Fax:

1205322096 — NEIL HENRY, LCSW, PC
Practice Location Address:

775 BROOKLYN AVE., , SUITE 112
NORTH BALDWIN, NY
11510-2948

Practice Phone: 516-868-0444
Practice Fax: 360-272-0444

1477358349 — KIMBERLY A BELL MSW
Practice Location Address:

2948 EASTERN BLVD
BALDWIN, NY
11510-4410

Practice Phone: 917-362-1139
Practice Fax:

1376507491 — LAURIE S. AZINE D.O.
Practice Location Address:

3366 OAKDALE AVENUE NORTH , SUITE 315, NORTH CLINIC, PA
ROBBINSDALE, MN
55422-2948

Practice Phone: 763-587-7900
Practice Fax: 763-587-7989

1003853862 — SAMUEL DAVID REGISTER III MD
Practice Location Address:

3500 SPRINGHILL DR STE 200A
NORTH LITTLE ROCK, AR
72117-2948

Practice Phone: 501-202-3638
Practice Fax: 501-202-3639

Directions to “PROACTIVE COUNSELING LCSW P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.