OrganizationActive
Heart and Soul Lcsw P.C.
NPI 1992113369 · Preferred Provider Organization · Mahopac, NY
Provider details
- NPI number
- 1992113369
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jennifer Dibenedetto, Licensed Clinical Social Worker(914) 419-9962
- License
- R038276-1 (NY)
Specialties & taxonomies
Managed Care Organizations
Practice location
220 Route 6
Mahopac, NY 10541-3850
Phone: (914) 419-9962
Approximate (ZIP-level) locationGet directions
Mailing address
37 Mahopac Ave
Amawalk, NY 10501-1004
Registry dates
- Enumerated
- 2014-07-29
- Last updated
- 2014-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.