| Progressive Psychotherapy, Lcsw | |
|
1646 Ulster Heights Rd Ellenville NY 12428-5733 | |
| (860) 995-3457 | |
| (888) 975-1417 |
| Full Name | Progressive Psychotherapy, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 1646 Ulster Heights Rd, Ellenville, New York |
| Authorized Official Name and Position | Debra Franklin (OWNER) |
| Authorized Official Contact | 8609953457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Psychotherapy, Lcsw 1646 Ulster Heights Rd Ellenville NY 12428-5733 Ph: (860) 995-3457 | Progressive Psychotherapy, Lcsw 1646 Ulster Heights Rd Ellenville NY 12428-5733 Ph: (860) 995-3457 |
| NPI Number | 1083080733 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 5193035194 |
|---|---|
| Medicare Enrollment ID | O20151103002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083080733 | NPI | - | NPPES |
| 5592636 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Debra Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720101520 PECOS PAC ID: 1254482755 Enrollment ID: I20090623000591 |
Family Practice Center Of Ellenville Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6 Healthy Way, Ellenville, NY 12428 Phone: 845-647-4500 Fax: 845-647-7632 | |
Jasforensics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Seigel Rd, Ellenville, NY 12428 Phone: 917-346-7479 |