| Mary Carlson, Lcsw, Pllc | |
|
1541 Union St Schenectady NY 12309-6060 | |
| (518) 878-9729 | |
| Not Available |
| Full Name | Mary Carlson, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1541 Union St, Schenectady, New York |
| Authorized Official Name and Position | Mary Carlson (OWNER) |
| Authorized Official Contact | 5188789729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Carlson, Lcsw, Pllc 1541 Union St Schenectady NY 12309-6060 Ph: (518) 878-9729 | Mary Carlson, Lcsw, Pllc 1541 Union St Schenectady NY 12309-6060 Ph: (518) 878-9729 |
| NPI Number | 1275294480 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 01/10/2022 |
| Certification Date | 01/10/2022 |
| Medicare PECOS PAC ID | 0244624443 |
|---|---|
| Medicare Enrollment ID | O20220304000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275294480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528424918 PECOS PAC ID: 1153715354 Enrollment ID: I20220304001265 |
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