| Mary Lafountain Lcsw Pllc | |
|
1918 Oakland Ave Schenectady NY 12308-1321 | |
| (518) 257-9131 | |
| Not Available |
| Full Name | Mary Lafountain Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1918 Oakland Ave, Schenectady, New York |
| Authorized Official Name and Position | Mary Ann Lafountain (OWNER) |
| Authorized Official Contact | 5182579131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lafountain Lcsw Pllc 1918 Oakland Ave Schenectady NY 12308-1321 Ph: (518) 257-9131 | Mary Lafountain Lcsw Pllc 1918 Oakland Ave Schenectady NY 12308-1321 Ph: (518) 257-9131 |
| NPI Number | 1306616180 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 7113362906 |
|---|---|
| Medicare Enrollment ID | O20240304000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306616180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Mary Lafountain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821546185 PECOS PAC ID: 1658716444 Enrollment ID: I20240304000312 |
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