Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CAROL MARCIA POTRUCH, LCSW, PHD
Active Sole ProprietorDR. CAROL MARCIA POTRUCH, LCSW, PHD is a Clinical Social Worker healthcare provider located in MINEOLA, New York. NPI 1003992611 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MINEOLA, NY
Registration Details
- NPI Number
- 1003992611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2006 (19.761110854506 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R040274-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1527 FRANKLIN AVESUITE 203MINEOLA, NY, 115014827Browse NY providers · Browse ZIP 11501
- Phone
- 5163171493
- Fax
- 2127440696
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MINEOLA, NY
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT PENASKOVIC | MSW | 1538155189 |
| MELISSA JENNINGS | L.C.S.W.-R | 1073581161 |
| MR. HENRY G HERTL | LCSW | 1952331175 |
| MS. BERNICE SIMS | LCSW | 1245254978 |
| ELIZABETH PERRETTA | LCSW-R, MASTER CASAC | 1922112655 |
| BONNIE E OWENS | LCSW-R | 1942385497 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.