| Samaritan Licensed Clinical Social Work, Pc | |
|
220 North Ballston Avenue Scotia NY 12302-2533 | |
| (518) 374-3514 | |
| (518) 374-9193 |
| Full Name | Samaritan Licensed Clinical Social Work, Pc |
|---|---|
| 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 |
|---|---|
| Samaritan Licensed Clinical Social Work, Pc 220 North Ballston Avenue Scotia NY 12302-2533 Ph: (518) 374-3514 | Samaritan Licensed Clinical Social Work, Pc 220 North Ballston Avenue Scotia NY 12302-2533 Ph: (518) 374-3514 |
| NPI Number | 1841396884 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/14/2009 |
| Medicare PECOS PAC ID | 7214280049 |
|---|---|
| Medicare Enrollment ID | O20181025000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841396884 | NPI | - | NPPES |
| Provider Name | Oona Edmands |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346355831 PECOS PAC ID: 0143565051 Enrollment ID: I20181221000307 |
| Provider Name | Daniel Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326452780 PECOS PAC ID: 6103281902 Enrollment ID: I20230501001662 |
| Provider Name | Kelly H Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144828658 PECOS PAC ID: 6103287156 Enrollment ID: I20230807002898 |
| Provider Name | Erin Belanger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215267794 PECOS PAC ID: 9931560059 Enrollment ID: I20240318002282 |
| Provider Name | Amanda Elise Tracy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881284099 PECOS PAC ID: 5092154765 Enrollment ID: I20240415000272 |
| Provider Name | James Fenimore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255987756 PECOS PAC ID: 1557700150 Enrollment ID: I20240416001010 |
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 |