- Mental Health Clinic in Fort Drum, NY

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is a mental health clinic (Social Worker - Clinical) in Fort Drum, New York. The current practice location for is 11050 Mt Belvedere Blvd Rm 1113, Fort Drum, New York. For appointments, you can reach them via phone at (315) 772-2151. The mailing address for is 11050 Mt Belvedere Blvd Rm 1113, Fort Drum, New York and phone number is (315) 772-2151.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1083356489. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (315) 772-2151.

Contact Information

11050 Mt Belvedere Blvd Rm 1113
Fort Drum
NY 13602-2603
(315) 772-2151
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialitySocial Worker - Clinical
Location11050 Mt Belvedere Blvd Rm 1113, Fort Drum, New York
Authorized Official Name and PositionBobbi Petranchuk (SOCIAL WORKER)
Authorized Official Contact3157722151
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

11050 Mt Belvedere Blvd Rm 1113
Fort Drum
NY 13602-2603

Ph: (315) 772-2151
11050 Mt Belvedere Blvd Rm 1113
Fort Drum
NY 13602-2603

Ph: (315) 772-2151

NPI Details:

NPI Number1083356489
Provider Enumeration Date04/07/2022
Last Update Date09/23/2024
Certification Date09/23/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083356489NPI-NPPES
00354316MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
104100000XSocial Worker (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary

Reviews and Comments

Social Worker in Fort Drum, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.