| Seneca Cnty Cnslg Ct | |
|
31 Thurber Dr Waterloo NY 13165-1600 | |
| (315) 539-1980 | |
| (315) 539-1054 |
| Full Name | Seneca Cnty Cnslg Ct |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 Thurber Dr, Waterloo, New York |
| Authorized Official Name and Position | Margaret Morse (DIRECTOR OF COMMUNITY SERVICES) |
| Authorized Official Contact | 3155391980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seneca Cnty Cnslg Ct 31 Thurber Dr Waterloo NY 13165-1600 Ph: (315) 539-1980 | Seneca Cnty Cnslg Ct 31 Thurber Dr Waterloo NY 13165-1600 Ph: (315) 539-1980 |
| NPI Number | 1689787517 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 7416840301 |
|---|---|
| Medicare Enrollment ID | O20040204000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689787517 | NPI | - | NPPES |
| 103001EU | Other | NY | PREFERRED CARE |
| 452866 | Other | NY | VALUE OPTIONS / EMPIRE |
| 00357819 | Medicaid | NY |
| Provider Name | Deena J Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972603769 PECOS PAC ID: 5597700443 Enrollment ID: I20050622000849 |
| Provider Name | Dorothy R Lennon |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1992702245 PECOS PAC ID: 9739107772 Enrollment ID: I20051108000471 |
| Provider Name | Kelly Sandra Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861441297 PECOS PAC ID: 1759393937 Enrollment ID: I20060713000088 |
| Provider Name | Pamela H King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124052527 PECOS PAC ID: 1052319076 Enrollment ID: I20061129000144 |
| Provider Name | Terri D Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689632580 PECOS PAC ID: 8527167402 Enrollment ID: I20070618000185 |
| Provider Name | Christine M Tompkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720197312 PECOS PAC ID: 7911063037 Enrollment ID: I20090225000428 |
| Provider Name | Kang Yu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346354800 PECOS PAC ID: 0840464830 Enrollment ID: I20111201000589 |
| Provider Name | Barbara Jean A Douglass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871820068 PECOS PAC ID: 5496912289 Enrollment ID: I20120207000052 |
| Provider Name | David Roemer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982035259 PECOS PAC ID: 2365756160 Enrollment ID: I20150807013845 |
| Provider Name | Ronald S Yearwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457374423 PECOS PAC ID: 8325346935 Enrollment ID: I20160415000169 |
| Provider Name | Janice C Creamer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861504128 PECOS PAC ID: 8224305347 Enrollment ID: I20170522000584 |
| Provider Name | Janine Quinlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396777132 PECOS PAC ID: 1951499003 Enrollment ID: I20190607000984 |
| Provider Name | Tammy Orlopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730366949 PECOS PAC ID: 2860824612 Enrollment ID: I20191115001137 |
| Provider Name | Brenda L Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093185068 PECOS PAC ID: 3476964875 Enrollment ID: I20201116000820 |
| Provider Name | Sharon M Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811488422 PECOS PAC ID: 0941601223 Enrollment ID: I20210623003871 |
| Provider Name | Tina L Zapetis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831559970 PECOS PAC ID: 2769870815 Enrollment ID: I20211022001570 |
| Provider Name | Katrina Jones Galasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518339159 PECOS PAC ID: 2860881976 Enrollment ID: I20211111000732 |
| Provider Name | Rebecca A Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548732498 PECOS PAC ID: 5597150938 Enrollment ID: I20220321002440 |
| Provider Name | Christine Vieira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063820645 PECOS PAC ID: 4082000153 Enrollment ID: I20220330001253 |
| Provider Name | Nicole M Paonessa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477052611 PECOS PAC ID: 6709272206 Enrollment ID: I20220411000681 |
| Provider Name | Brianne O En |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477274942 PECOS PAC ID: 3274900220 Enrollment ID: I20221103000951 |
| Provider Name | Cara E Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154044337 PECOS PAC ID: 1951771567 Enrollment ID: I20221222002119 |
| Provider Name | Katelyn E Blowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184180176 PECOS PAC ID: 2769837400 Enrollment ID: I20231016001776 |
| Provider Name | Megan C Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306482054 PECOS PAC ID: 4789030347 Enrollment ID: I20231102001776 |
| Provider Name | Courtney R Killik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982184875 PECOS PAC ID: 5193178887 Enrollment ID: I20240130000560 |
| Provider Name | Angelina K Zulick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730724634 PECOS PAC ID: 7214380914 Enrollment ID: I20240130000723 |
| Provider Name | Samantha C Zeitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427555481 PECOS PAC ID: 4284087982 Enrollment ID: I20240130000809 |
| Provider Name | Hadley J O'bryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093231045 PECOS PAC ID: 2365895901 Enrollment ID: I20240130002396 |
| Provider Name | Ann E Knoll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235149121 PECOS PAC ID: 5496199671 Enrollment ID: I20240215001569 |
| Provider Name | Rene A Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669712022 PECOS PAC ID: 0042654238 Enrollment ID: I20240215001918 |
| Provider Name | Rachel A Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548469018 PECOS PAC ID: 7012351216 Enrollment ID: I20240215002041 |