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NPI Code Detail

MEDICARE: SHINELLE K RAMKISSOON LCSW P.C.

MEDICARE: SHINELLE K RAMKISSOON 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1982548665
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHINELLE K RAMKISSOON LCSW P.C.
Provider Business Mailing Address
First Line : 104 PINEOAKS LN
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-1142
Country : US
Telephone Number : 267-231-2342
Fax Number :
Provider Business Practice Location Address
First Line : 104 PINEOAKS LN
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-1142
Country : US
Telephone Number : 267-231-2342
Fax Number :
Authorized Official
Title or Position : PSYCHOTHERAPIST/OWNER
Name : SHINELLE RAMKISSOON
Credential : LCSW
Telephone Number : 267-231-2342
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “SHINELLE K RAMKISSOON LCSW P.C. ” Practice Location

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