| Hope For Healing Licensed Clinical Social Work Pc | |
|
421 New Karner Rd Suite 2 Albany NY 12205-3861 | |
| (518) 441-5660 | |
| (518) 689-6869 |
| Full Name | Hope For Healing Licensed Clinical Social Work Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 421 New Karner Rd, Albany, New York |
| Authorized Official Name and Position | Mary-jane Quick (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 5183841517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope For Healing Licensed Clinical Social Work Pc 104a Heckeler Dr Glenville NY 12302-5313 Ph: (518) 384-1517 | Hope For Healing Licensed Clinical Social Work Pc 421 New Karner Rd Suite 2 Albany NY 12205-3861 Ph: (518) 441-5660 |
| NPI Number | 1134674385 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 08/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134674385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 082388-1 (New York) | Primary |
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