| Annette M. Hertzlin-lockamyeir, Lcsw Pllc | |
|
27 S Platt St Albion NY 14411-1431 | |
| (585) 303-3724 | |
| (585) 589-1036 |
| Full Name | Annette M. Hertzlin-lockamyeir, Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 27 S Platt St, Albion, New York |
| Authorized Official Name and Position | Annette Marie Hertzlin-lockamyeir (OWNER) |
| Authorized Official Contact | 5853033724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annette M. Hertzlin-lockamyeir, Lcsw Pllc 117 Delaina Rose Cir Brockport NY 14420-9344 Ph: (585) 303-3724 | Annette M. Hertzlin-lockamyeir, Lcsw Pllc 27 S Platt St Albion NY 14411-1431 Ph: (585) 303-3724 |
| NPI Number | 1538241732 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 10/16/2008 |
| Medicare PECOS PAC ID | 7719172345 |
|---|---|
| Medicare Enrollment ID | O20101109001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538241732 | NPI | - | NPPES |
| 02432180 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 069241-1 (New York) | Primary |
| Provider Name | Annette Marie Hertzlin-lockamyeir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336221522 PECOS PAC ID: 9133314776 Enrollment ID: I20101109001140 |
Albion Correctional Facility Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3595 State School Rd, Albion, NY 14411 Phone: 585-589-5511 Fax: 585-589-7770 | |
Oak Orchard Community Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 317 West Ave, Albion, NY 14411 Phone: 585-589-5613 Fax: 585-637-2375 |