| Maverick Family Counseling | |
|
404 Zena Rd Woodstock NY 12498-2626 | |
| (845) 679-8650 | |
| (845) 679-5485 |
| Full Name | Maverick Family Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 404 Zena Rd, Woodstock, New York |
| Authorized Official Name and Position | Thayer Case (CO-DIRECTOR) |
| Authorized Official Contact | 8456798650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Family Counseling 404 Zena Rd Woodstock NY 12498-2626 Ph: (845) 679-8650 | Maverick Family Counseling 404 Zena Rd Woodstock NY 12498-2626 Ph: (845) 679-8650 |
| NPI Number | 1104160738 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 1557597184 |
|---|---|
| Medicare Enrollment ID | O20131203002090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104160738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn T Mufson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447235437 PECOS PAC ID: 8224026570 Enrollment ID: I20040504001662 |
| Provider Name | Donna J Boundy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649375916 PECOS PAC ID: 1557428521 Enrollment ID: I20090318000261 |
| Provider Name | Aimee Q Gallin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932340353 PECOS PAC ID: 7416002092 Enrollment ID: I20090903000180 |
| Provider Name | Ty A Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609818335 PECOS PAC ID: 7113067430 Enrollment ID: I20091217000539 |
| Provider Name | Cornelia Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912079815 PECOS PAC ID: 5698944403 Enrollment ID: I20110812000219 |
| Provider Name | Patricia G Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932492899 PECOS PAC ID: 4183895717 Enrollment ID: I20110912000465 |
| Provider Name | Thayer S Case |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861778292 PECOS PAC ID: 4385819002 Enrollment ID: I20111208000233 |
| Provider Name | Gabrielle Kleinmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700893187 PECOS PAC ID: 9133395304 Enrollment ID: I20120110000655 |
| Provider Name | Fay M Aaronson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710253224 PECOS PAC ID: 6709014988 Enrollment ID: I20140115000798 |
| Provider Name | Megan Joy Riebesell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326408022 PECOS PAC ID: 5799082541 Enrollment ID: I20160323000261 |
| Provider Name | Heather A Bergen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215124367 PECOS PAC ID: 7315222627 Enrollment ID: I20170329002027 |
| Provider Name | Mary B Vandezande |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407368004 PECOS PAC ID: 7911915269 Enrollment ID: I20180213000189 |
| Provider Name | Gifty G Ampadu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184103970 PECOS PAC ID: 8325385255 Enrollment ID: I20190130000947 |
| Provider Name | James Matthew Tinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487977682 PECOS PAC ID: 8921424292 Enrollment ID: I20200817003539 |
| Provider Name | Hiep Bui |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598351454 PECOS PAC ID: 5597165621 Enrollment ID: I20210611000430 |
| Provider Name | Emma Nicole Maley Pile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801475215 PECOS PAC ID: 9739560939 Enrollment ID: I20220719003562 |
| Provider Name | Dafne Finkler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811397367 PECOS PAC ID: 7214319367 Enrollment ID: I20220805001012 |
| Provider Name | Jessica Hong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053029132 PECOS PAC ID: 6002286531 Enrollment ID: I20221228000681 |
| Provider Name | Katherine Eleanor Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184380834 PECOS PAC ID: 6709238082 Enrollment ID: I20240123001667 |
| Provider Name | Donna Mary Andres |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457966855 PECOS PAC ID: 4880047802 Enrollment ID: I20240125004524 |
| Provider Name | Emily Ann Passik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497428015 PECOS PAC ID: 0042663072 Enrollment ID: I20240125004674 |
| Provider Name | Sarah Douglas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629541313 PECOS PAC ID: 1153774104 Enrollment ID: I20240126000493 |
| Provider Name | Stephanie Lorraine Rooker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740859164 PECOS PAC ID: 4486007432 Enrollment ID: I20240126000624 |
Maverick Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Zena Rd, Woodstock, NY 12498 Phone: 845-679-8650 Fax: 845-679-5485 | |
Aileen Walsh Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Simmons Dr N, Woodstock, NY 12498 Phone: 845-853-9090 | |
Mark Hammel, Ph.d., Psychologist, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 31 Patricia Ln, Woodstock, NY 12498 Phone: 845-339-2352 Fax: 845-943-2271 |