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Contact Information

MARIE BEAUREGARD-WEISS, LCSW,PC
2078 RICHMOND AVE
STATEN ISLAND, NY10314-3916
 Phone: 917-470-0284
 Fax: 352-293-3137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARIE BEAUREGARD WEISS LCSWPC · (Female)

NPI # 1891186029
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2015
Last updated 12/09/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 02455636
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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