Mr Sherman S Stovall Jr, LCSW-R, MA | |
6 Chelsea Pl, Clifton Park, NY 12065-3216 | |
(518) 253-4229 | |
(518) 565-0533 |
Full Name | Mr Sherman S Stovall Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 6 Chelsea Pl, Clifton Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669771812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 078968 (New York) | Primary |
Entity Name | Legacy Lcsw Counseling Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396080339 PECOS PAC ID: 5193966166 Enrollment ID: O20130802000610 |
Mailing Address | Practice Location Address |
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Mr Sherman S Stovall Jr, LCSW-R, MA 816 S Broadway, Malta, NY 12020-5207 Ph: (518) 364-6632 | Mr Sherman S Stovall Jr, LCSW-R, MA 6 Chelsea Pl, Clifton Park, NY 12065-3216 Ph: (518) 253-4229 |
Ms. Kimberly Susan Martin, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1745 Route 9, Suite G, Clifton Park, NY 12065 Phone: 518-598-3192 Fax: 888-495-2213 | |
Catherine J Markey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3 Crossing Blvd Ste 1, Clifton Park, NY 12065 Phone: 518-831-4434 Fax: 518-831-4435 | |
Mrs. Dorothy Jean Mullineaux Sauer, LCSWR Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Chelsea Place, Suite 101, Clifton Park, NY 12065 Phone: 518-526-1151 Fax: 518-383-3246 | |
Ms. Dianne Elizabeth Burke, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Werner Rd, Clifton Park, NY 12065 Phone: 518-664-5066 Fax: 518-664-5728 | |
Mrs. Nina Laurie Faucher, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6 Chelsea Pl Ste 103, Clifton Park, NY 12065 Phone: 844-253-4229 Fax: 518-565-0533 | |
Mr. Alfred Wolfer Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Clifton Country Rd, Ste. 206, Clifton Park, NY 12065 Phone: 518-371-7202 Fax: 518-373-6686 | |
Amanda Leigh Keller, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Southside Drive, Suite 11-131, Clifton Park, NY 12065 Phone: 518-906-9116 |