| Life Stages Counseling | |
|
122 W Court St Ste 109 Ithaca NY 14850-4165 | |
| (607) 256-4422 | |
| Not Available |
| Full Name | Life Stages Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 122 W Court St Ste 109, Ithaca, New York |
| Authorized Official Name and Position | Maria Ann Muscente (CERTIFIED SOCIAL WORKER) |
| Authorized Official Contact | 6072564422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stages Counseling 122 W Court St Ste 109 Ithaca NY 14850-4165 Ph: (607) 256-4422 | Life Stages Counseling 122 W Court St Ste 109 Ithaca NY 14850-4165 Ph: (607) 256-4422 |
| NPI Number | 1609015536 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 01/28/2010 |
| Medicare PECOS PAC ID | 3870834013 |
|---|---|
| Medicare Enrollment ID | O20190416001734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609015536 | NPI | - | NPPES |
| Provider Name | Jessica Erin Massaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992961023 PECOS PAC ID: 7416118245 Enrollment ID: I20120424000396 |
| Provider Name | James L Haines-burnham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699894998 PECOS PAC ID: 9739314931 Enrollment ID: I20170505000286 |
| Provider Name | Deborah H Loewe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134442130 PECOS PAC ID: 4082955257 Enrollment ID: I20190416003180 |
| Provider Name | Leslie Shakespeare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558461186 PECOS PAC ID: 4789926445 Enrollment ID: I20190429001678 |
| Provider Name | Rebecca L Debell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174846307 PECOS PAC ID: 4981833241 Enrollment ID: I20190429002495 |
| Provider Name | Travis F Winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609199843 PECOS PAC ID: 4880829886 Enrollment ID: I20190430000639 |
| Provider Name | Lisa Pate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780907931 PECOS PAC ID: 6800020736 Enrollment ID: I20190502000748 |
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