| Delaware County Community Services | |
|
243 Delaware Street Walton NY 13856 | |
| (607) 832-5888 | |
| (607) 832-6081 |
| Full Name | Delaware County Community Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 243 Delaware Street, Walton, New York |
| Authorized Official Name and Position | Cynthia Heaney (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Contact | 6078325694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delaware County Community Services 243 Delaware Street Walton NY 13856 Ph: (607) 832-5888 | Delaware County Community Services 243 Delaware Street Walton NY 13856 Ph: (607) 832-5888 |
| NPI Number | 1740375385 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 1254327380 |
|---|---|
| Medicare Enrollment ID | O20040422001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740375385 | NPI | - | NPPES |
| 00579240 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Fern J Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063401792 PECOS PAC ID: 6608863659 Enrollment ID: I20040429001443 |
| Provider Name | Douglas D Elston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215045570 PECOS PAC ID: 1951441252 Enrollment ID: I20091217000416 |
| Provider Name | Edward A Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326133752 PECOS PAC ID: 9638366560 Enrollment ID: I20101204000059 |
| Provider Name | Joanne Button |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235250952 PECOS PAC ID: 7719155571 Enrollment ID: I20110721000359 |
| Provider Name | Crystal Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356887657 PECOS PAC ID: 1456766104 Enrollment ID: I20210211000038 |