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NPI Code Detail

MEDICARE: CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.

MEDICARE: CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
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
1251S00000XCommunity/Behavioral Health Agency6487019ANY
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6487102ANY
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6487101ANY
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6487103ANY
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6487100ANY
6261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6487150ANY
7251S00000XCommunity/Behavioral Health Agency6487302ANY
8251S00000XCommunity/Behavioral Health Agency6487301ANY
9251S00000XCommunity/Behavioral Health Agency6487300ANY
10261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6487102DNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548373921
Entity Type Code : Organization
Provider Name (Legal Business Name) : CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Provider Business Mailing Address
First Line : 191 JORALEMON ST
Second Line : 14TH FLOOR
City : BROOKLYN
State : NY
Zip : 11201-4306
Country : US
Telephone Number : 718-722-6000
Fax Number :
Provider Business Practice Location Address
First Line : 191 JORALEMON ST
Second Line : 14TH FLOOR
City : BROOKLYN
State : NY
Zip : 11201-4306
Country : US
Telephone Number : 718-722-6000
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. ALAN WOLINETZ
Credential :
Telephone Number : 718-722-6130
Provider Enumeration Date : 08/17/2006
Last Update Date : 11/18/2014

Similar Medicare Providers

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11201-4306
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Practice Fax: 718-722-6217
1811917446 — MS. ELLEN CATHERINE WAGEMAN LCSW
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1265557847 — CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Practice Location Address:
191 JORALEMON ST , 14TH FLOOR
BROOKLYN, NY
11201-4306
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Practice Fax:
1366646291 — CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.
Practice Location Address:
191 JORALEMON ST
BROOKLYN, NY
11201-4306
Practice Phone: 718-722-6230
Practice Fax: 718-722-6219
1275869679 — MS. GIOVANNIE LAROC LMSW
Practice Location Address:
191 JORALEMON ST
BROOKLYN, NY
11201-4306
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1831499854 — JANICE MORDI PMHNP
Practice Location Address:
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Directions to “CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC. ” Practice Location

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