Mindful Living Social Work, Lcsw, Llc | |
418 Broadway Ste 5071 Albany NY 12207-2922 | |
(914) 266-0218 | |
Not Available |
Full Name | Mindful Living Social Work, Lcsw, Llc |
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Speciality | Social Worker |
Location | 418 Broadway Ste 5071, Albany, New York |
Authorized Official Name and Position | Delnisha Baker (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9142660218 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindful Living Social Work, Lcsw, Llc 418 Broadway Ste 5071 Albany NY 12207-2922 Ph: (914) 266-0218 | Mindful Living Social Work, Lcsw, Llc 418 Broadway Ste 5071 Albany NY 12207-2922 Ph: (914) 266-0218 |
NPI Number | 1861049751 |
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Provider Enumeration Date | 08/24/2019 |
Last Update Date | 06/18/2024 |
Certification Date | 06/18/2024 |
Medicare PECOS PAC ID | 1153753751 |
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Medicare Enrollment ID | O20191120001892 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861049751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Delnisha Baker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033766928 PECOS PAC ID: 1951733559 Enrollment ID: I20191120002052 |
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