| Hudson Valley Dynamic Counseling Lcsw Pc | |
|
224 Church St Poughkeepsie NY 12601-4282 | |
| (845) 625-3181 | |
| Not Available |
| Full Name | Hudson Valley Dynamic Counseling Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 224 Church St, Poughkeepsie, New York |
| Authorized Official Name and Position | Vassell G O'gilvie (PRESIDENT) |
| Authorized Official Contact | 8456253181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Valley Dynamic Counseling Lcsw Pc 3 Donna Dr Poughkeepsie NY 12603-5611 Ph: (845) 625-3181 | Hudson Valley Dynamic Counseling Lcsw Pc 224 Church St Poughkeepsie NY 12601-4282 Ph: (845) 625-3181 |
| NPI Number | 1649504754 |
|---|---|
| Provider Enumeration Date | 09/22/2009 |
| Last Update Date | 03/05/2013 |
| Medicare PECOS PAC ID | 8224175260 |
|---|---|
| Medicare Enrollment ID | O20091024000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649504754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R047801 (New York) | Primary |
| Provider Name | Vassell G Ogilvie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942435599 PECOS PAC ID: 4183774888 Enrollment ID: I20090617000566 |
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