Second Chance Counseling Pllc - Medicare Mental Health Clinic in Middletown, NY

Second Chance Counseling Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Middletown, New York. The current practice location for Second Chance Counseling Pllc is 480 Route 17m Fl 1, Middletown, New York. For appointments, you can reach them via phone at (845) 341-8008. The mailing address for Second Chance Counseling Pllc is 29 Dogwood Dr, Middletown, New York and phone number is (845) 341-8008.

Second Chance Counseling Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265190094. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (845) 341-8008.

Contact Information

Second Chance Counseling Pllc
480 Route 17m Fl 1
Middletown
NY 10940-4525
(845) 341-8008
(732) 244-1005

Mental Health Clinic Profile

Full NameSecond Chance Counseling Pllc
SpecialitySocial Worker
Location480 Route 17m Fl 1, Middletown, New York
Authorized Official Name and PositionPatricia R De Jesus (PROVIDER)
Authorized Official Contact8453418008
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Second Chance Counseling Pllc
29 Dogwood Dr
Middletown
NY 10940-1801

Ph: (845) 341-8008
Second Chance Counseling Pllc
480 Route 17m Fl 1
Middletown
NY 10940-4525

Ph: (845) 341-8008

NPI Details:

NPI Number1265190094
Provider Enumeration Date11/29/2021
Last Update Date01/07/2022
Certification Date01/07/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6002207719
Medicare Enrollment IDO20220106000836

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Medical Identifiers

Medical identifiers for Second Chance Counseling Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265190094NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Second Chance Counseling Pllc acts as a billing entity for following providers:
Provider NamePatricia R Dejesus
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083217954
PECOS PAC ID: 0547674210
Enrollment ID: I20210121001179

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Provider NameJasmine Ortiz
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629638739
PECOS PAC ID: 4587026067
Enrollment ID: I20230815003896

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Social Worker in Middletown, NY

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Phone: 845-343-6686    
John T Sloma, Lcsw, Pc
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Practice Location: 200 Midway Park Dr, Suite 4, Middletown, NY 10940
Phone: 845-341-1134    Fax: 845-986-8994
Mary Lerouge Lcsw Pllc
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Medicare: Medicare Enrolled
Practice Location: 720 Route 17m, Middletown, NY 10940
Phone: 845-391-3812    
De Trinity Community Living Corp.
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Medicare: Not Enrolled in Medicare
Practice Location: 25 Gordon Rd, Middletown, NY 10941
Phone: 646-400-4562    
M Lavian Md Llc
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Medicare: Medicare Enrolled
Practice Location: 129 Wickham Ave, Middletown, NY 10940
Phone: 845-341-1805    Fax: 845-342-9218
David J. Miranda, Lcsw, Pllc
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Medicare: Medicare Enrolled
Practice Location: 720 Route 17m, Middletown, NY 10940
Phone: 845-320-2330    
Access: Supports For Living Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 15 Fortune Rd W, Middletown, NY 10941
Phone: 845-692-4454    Fax: 845-692-8887

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