| New Spirit Licensed Clinical Social Work, Pllc | |
|
142 W 2nd St Unit # 1a Oswego NY 13126-2547 | |
| (315) 216-4776 | |
| (315) 216-4783 |
| Full Name | New Spirit Licensed Clinical Social Work, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 142 W 2nd St, Oswego, New York |
| Authorized Official Name and Position | Elaine Bishara Caraccioli (OPERATING MANAGER) |
| Authorized Official Contact | 9175360420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Spirit Licensed Clinical Social Work, Pllc 142 W 2nd St Unit # 1a Oswego NY 13126-2547 Ph: (315) 216-4776 | New Spirit Licensed Clinical Social Work, Pllc 142 W 2nd St Unit # 1a Oswego NY 13126-2547 Ph: (315) 216-4776 |
| NPI Number | 1275978660 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 07/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275978660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 074567-1 (New York) | Primary |
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