| Clearwater Counseling Associates Lcsw, Pllc | |
|
10 Beadart Pl Hyde Park NY 12538-1218 | |
| (518) 567-2225 | |
| (845) 868-3124 |
| Full Name | Clearwater Counseling Associates Lcsw, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 Beadart Pl, Hyde Park, New York |
| Authorized Official Name and Position | Jules Jason Canez (CEO) |
| Authorized Official Contact | 5185672225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling Associates Lcsw, Pllc 10 Beadart Pl Hyde Park NY 12538-1218 Ph: (518) 567-2225 | Clearwater Counseling Associates Lcsw, Pllc 10 Beadart Pl Hyde Park NY 12538-1218 Ph: (518) 567-2225 |
| NPI Number | 1700236775 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 4082900188 |
|---|---|
| Medicare Enrollment ID | O20160915000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700236775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071192 (New York) | Primary |
| Provider Name | Lynn E Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235386624 PECOS PAC ID: 1052476926 Enrollment ID: I20090210000681 |
| Provider Name | Jules Jason Canez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417186362 PECOS PAC ID: 7214068691 Enrollment ID: I20100629000363 |
| Provider Name | Kenneth L Caccavale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821281288 PECOS PAC ID: 8527227750 Enrollment ID: I20120308000060 |
| Provider Name | Mary L Ciccarone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407121858 PECOS PAC ID: 5496979486 Enrollment ID: I20140613000355 |
| Provider Name | Richard E Morey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093873457 PECOS PAC ID: 6204132178 Enrollment ID: I20160303000732 |
| Provider Name | Michelle Mcgann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558845073 PECOS PAC ID: 6507119757 Enrollment ID: I20181105003327 |
| Provider Name | Catharine L. Tyler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851580245 PECOS PAC ID: 8729491089 Enrollment ID: I20210105001284 |
| Provider Name | John Alan Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982106977 PECOS PAC ID: 7618380684 Enrollment ID: I20210112001532 |
| Provider Name | Jihan S Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669773552 PECOS PAC ID: 1850709791 Enrollment ID: I20210414001776 |
| Provider Name | Deena Gabrielle Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780057208 PECOS PAC ID: 8325427131 Enrollment ID: I20220624002483 |
| Provider Name | Mikaela Jacklin Center |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922536655 PECOS PAC ID: 2668842824 Enrollment ID: I20230104000781 |
| Provider Name | Alexandria Tremante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699241877 PECOS PAC ID: 6406398890 Enrollment ID: I20240613001088 |
Psychotherapy Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4232 Albany Post Rd, Hyde Park, NY 12538 Phone: 845-229-6585 | |
Family Practice Center Of Hyde Park Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11 Crum Elbow Rd, Hyde Park, NY 12538 Phone: 845-229-1020 Fax: 845-229-2005 |