Rina Francesca Accolla, LCSW

Individual provider Active NPI Mental Health Counselor · Sea Cliff, NY

NPI 1821005455 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821005455
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
R047905-1 (NY)
Practice address
15 Marlan CT
Sea Cliff, NY 11579-2118
Phone
(516) 671-0065
Fax
(516) 671-0065
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Marlan CT
Sea Cliff, NY 11579-2118
Phone (516) 671-0065

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070322000626 NY Practitioner - Clinical Social Worker 0143324699 Practice locations: Sea Cliff, NY

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
R047905-1NYMDMental Health Counselor
047905NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R047905-1 NY Yes

Addresses

Primary practice location

15 Marlan CT
Sea Cliff, NY 11579-2118

Mailing address

15 Marlan CT
Sea Cliff, NY 11579-2118
Phone (516) 671-0065

Other providers in Sea Cliff, NY

All providers in Sea Cliff, NY · Mental Health Counselor in New York

Sources for this page

Verify at the official NPI Registry.