| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 39 Duncan St, Warsaw, New York |
| Authorized Official Name and Position | Kathryn Ann Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5855931655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4222 Bolivar Rd Wellsville NY 14895-9332 Ph: (585) 593-1655 | 39 Duncan St Warsaw NY 14569-1017 Ph: (585) 786-0190 |
| NPI Number | 1215955083 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 01/09/2024 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215955083 | NPI | - | NPPES |
| 02994741 | Medicaid | NY | |
| 000523176001 | Other | NY | BCBS WNY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Mashell A. Schell, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 N Main St, Warsaw, NY 14569 Phone: 585-616-3366 Fax: 585-757-2463 | |
Mark Varallo Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 Fax: 585-786-1203 | |
Wyoming County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-1555 |