Suzanne Hackert, LCSW-R | |
48 East St, Fort Edward, NY 12828-1811 | |
(518) 824-8630 | |
(518) 824-2302 |
Full Name | Suzanne Hackert |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 48 East St, Fort Edward, 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 |
---|---|---|---|
1962433169 | NPI | - | NPPES |
02792189 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R044923 (New York) | Primary |
Entity Name | Hudson Headwaters Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Hackert, LCSW-R 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Suzanne Hackert, LCSW-R 48 East St, Fort Edward, NY 12828-1811 Ph: (518) 824-8630 |
Donna M Dapolito, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1153 Burgoyne Avenue, Suite 2, Fort Edward, NY 12828 Phone: 518-746-3340 | |
Daniela L Andrade, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 48 East St, Fort Edward, NY 12828 Phone: 518-824-8630 Fax: 518-824-2302 | |
Roseanne Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Washington St, Fort Edward, NY 12828 Phone: 914-755-9911 | |
Gregory N Chandler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Washington St, Fort Edward, NY 12828 Phone: 518-746-3885 | |
Christina Campagna Rees, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Washington St Ste A, Fort Edward, NY 12828 Phone: 518-746-3885 | |
Mrs. Sandra Pollaro, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1153 Burgoyne Avenue, Hudson Falls Central School District, Fort Edward, NY 12828 Phone: 518-747-2121 Fax: 518-747-0951 |