MARIE BEAUREGARD-WEISS, LCSW,PC; NPI #1891186029

Contact Information

MARIE BEAUREGARD-WEISS, LCSW,PC

2078 RICHMOND AVE
STATEN ISLAND, NY 10314-3916

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

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NPI Profile & details for MARIE BEAUREGARD-WEISS, LCSW,PC

NPI Number 1891186029

LBN Legal business name MARIE BEAUREGARD-WEISS, LCSW,PC

Authorized official MARIE BEAUREGARD-WEISS - (PROVIDER ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/10/2015

Last updated 12/09/2024 - More than a year ago

Identifiers

Medicaid

02455636

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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