Daniel J Declerck, LMHC is a
Counselor - Mental Health based in Shortsville, New York. Daniel J Declerck is licensed to practice in New York (license number 005883) and his current practice location is
443 Curran Rd, Shortsville, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 521-4033.
NPI number for Daniel J Declerck is 1487024006 and his current mailing address is 443 Curran Rd, Shortsville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487024006.
Healthcare Provider's Profile
| Full Name | Daniel J Declerck |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 443 Curran Rd, Shortsville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487024006
- Provider Enumeration Date: 09/26/2015
- Last Update Date: 03/07/2016
Medical Identifiers
Medical identifiers for Daniel J Declerck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487024006 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 005883 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel J Declerck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daniel J Declerck, LMHC
443 Curran Rd,
Shortsville, NY 14548-9333
Ph: (315) 521-4033 | Daniel J Declerck, LMHC
443 Curran Rd,
Shortsville, NY 14548-9333
Ph: (315) 521-4033 |
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