| Hulbert Counseling Services Lcsw Pc | |
|
517 Spring St Jamestown NY 14701-5323 | |
| (716) 484-9840 | |
| (716) 664-5186 |
| Full Name | Hulbert Counseling Services Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 517 Spring St, Jamestown, New York |
| Authorized Official Name and Position | Susan W Hulbert (LICENSED CLINICAL SOCIAL WORKER,VP) |
| Authorized Official Contact | 7164849840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hulbert Counseling Services Lcsw Pc 517 Spring St Jamestown NY 14701-5323 Ph: (716) 484-9840 | Hulbert Counseling Services Lcsw Pc 517 Spring St Jamestown NY 14701-5323 Ph: (716) 484-9840 |
| NPI Number | 1720120629 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 05/15/2009 |
| Medicare PECOS PAC ID | 4688657943 |
|---|---|
| Medicare Enrollment ID | O20040609000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720120629 | NPI | - | NPPES |
| 331451 | Other | NY | MHN |
| 6209032 | Other | NY | INDEPENDENT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | RO37505 (New York) | Primary |
| Provider Name | Susan W Hulbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699891762 PECOS PAC ID: 8123001484 Enrollment ID: I20040615000368 |
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