| |
220 North Ballston Avenue Scotia NY 12302-2533 | |
(518) 374-3514 | |
(518) 374-9193 |
Full Name | |
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Speciality | Counselor |
Location | 220 North Ballston Avenue, Scotia, New York |
Authorized Official Name and Position | Deborah Lee Valiquette (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 5183743514 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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220 North Ballston Avenue Scotia NY 12302-2533 Ph: (518) 374-3514 | 220 North Ballston Avenue Scotia NY 12302-2533 Ph: (518) 374-3514 |
NPI Number | 1841396884 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 08/14/2009 |
Medicare PECOS PAC ID | 7214280049 |
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Medicare Enrollment ID | O20181025000131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841396884 | NPI | - | NPPES |
Provider Name | Oona Edmands |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346355831 PECOS PAC ID: 0143565051 Enrollment ID: I20181221000307 |
Provider Name | Daniel Obrien |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326452780 PECOS PAC ID: 6103281902 Enrollment ID: I20230501001662 |
Provider Name | Kelly H Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144828658 PECOS PAC ID: 6103287156 Enrollment ID: I20230807002898 |
Provider Name | Erin Belanger |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215267794 PECOS PAC ID: 9931560059 Enrollment ID: I20240318002282 |
Provider Name | Amanda Elise Tracy |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881284099 PECOS PAC ID: 5092154765 Enrollment ID: I20240415000272 |
Provider Name | James Fenimore |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1255987756 PECOS PAC ID: 1557700150 Enrollment ID: I20240416001010 |
Provider Name | Maria Therese Catalfamo |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1760786214 PECOS PAC ID: 0244776235 Enrollment ID: I20240726000308 |
Provider Name | Jasmine Cerise Ceniceros |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1902541899 PECOS PAC ID: 8729528559 Enrollment ID: I20240909000475 |
Provider Name | Kelli Schuhl |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013252329 PECOS PAC ID: 0547700288 Enrollment ID: I20240910000512 |
Provider Name | Lindsy Chyna Francis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427569631 PECOS PAC ID: 6103366711 Enrollment ID: I20240910003375 |
Provider Name | Shawna Walz |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1750872925 PECOS PAC ID: 1759816101 Enrollment ID: I20241122001110 |
Samaritan Licensed Clinical Social Work, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 N Ballston Ave, Scotia, NY 12302 Phone: 518-374-3514 Fax: 518-374-9193 |