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115 Fall St Seneca Falls NY 13148-1498 | |
| (315) 515-5183 | |
| (315) 515-5194 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 115 Fall St, Seneca Falls, New York |
| Authorized Official Name and Position | Jamee M. Sealy (OWNER) |
| Authorized Official Contact | 3155688894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
115 Fall St Seneca Falls NY 13148-1498 Ph: (315) 515-5183 | 115 Fall St Seneca Falls NY 13148-1498 Ph: (315) 515-5183 |
| NPI Number | 1346769734 |
|---|---|
| Provider Enumeration Date | 09/17/2017 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 7214295245 |
|---|---|
| Medicare Enrollment ID | O20171221001527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346769734 | NPI | - | NPPES |
| 05325920 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R036144-1 (New York) | Primary |
| Provider Name | Judith A Ornella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811403991 PECOS PAC ID: 9638127939 Enrollment ID: I20050104000127 |
| Provider Name | Jamee M Sealy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013007947 PECOS PAC ID: 6002901162 Enrollment ID: I20071004000028 |
| Provider Name | Sandra Lynn Radford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043406523 PECOS PAC ID: 3870688997 Enrollment ID: I20071004000618 |
| Provider Name | Kelly E Bartle-bush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750628111 PECOS PAC ID: 0244587574 Enrollment ID: I20180718001775 |
| Provider Name | Laura L Ghose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013285410 PECOS PAC ID: 5092044537 Enrollment ID: I20190910000844 |
| Provider Name | Maria Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265906283 PECOS PAC ID: 7517299076 Enrollment ID: I20191101001787 |
| Provider Name | Denise Flodin Eshenaur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033801683 PECOS PAC ID: 5395105506 Enrollment ID: I20230720000118 |
| Provider Name | Kelley Haggerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962924431 PECOS PAC ID: 3072959568 Enrollment ID: I20240718001809 |
| Provider Name | Melissa Ann Giardine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154187268 PECOS PAC ID: 9436695244 Enrollment ID: I20240729000536 |
| Provider Name | Jacqueline Kathleen Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538646120 PECOS PAC ID: 9436699071 Enrollment ID: I20240910000582 |
Seneca Ontario Community Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 North Park Street, Seneca Ontario Community Services, Seneca Falls, NY 13148 Phone: 315-568-9412 Fax: 315-568-6718 | |
Elmira Psychiatric Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 N. Park St., Seneca-ontario Community Services - 2nd Floor, Seneca Falls, NY 13148 Phone: 315-568-9412 Fax: 315-568-6718 | |