Individual provider · Type 1 NPI

Eleanor Ponce, L.C.S.W-R

School Social Worker · Bay Shore, NY

NPI number 1104136308 Active

Practice location

795 Wisconsin Ave
Bay Shore, NY 11706-2336

Call (631) 434-2401 Map

Mailing address

1311 Peters Blvd
Bay Shore, NY 11706-4801

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200X554036941 (NY)
Clinical Social Worker 1041C0700XR035920-1 (NY)

School Social Worker: Definition to come...

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About NPI 1104136308

Eleanor Ponce, L.C.S.W-R's National Provider Identifier is 1104136308, issued on Oct 21, 2010. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Bay Shore, NY. The record was last updated on Oct 22, 2010.