| Shaun Crimmins Lcsw, Pllc | |
|
1416 Sweet Home Rd Ste 1 Amherst NY 14228-2786 | |
| (716) 650-4797 | |
| (716) 608-1437 |
| Full Name | Shaun Crimmins Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1416 Sweet Home Rd Ste 1, Amherst, New York |
| Authorized Official Name and Position | Shaun Crimmins (OWNER/PROVIDER) |
| Authorized Official Contact | 7166504797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaun Crimmins Lcsw, Pllc 1416 Sweet Home Rd Ste 1 Amherst NY 14228-2786 Ph: (716) 650-4797 | Shaun Crimmins Lcsw, Pllc 1416 Sweet Home Rd Ste 1 Amherst NY 14228-2786 Ph: (716) 650-4797 |
| NPI Number | 1467007401 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Medicare PECOS PAC ID | 2466781562 |
|---|---|
| Medicare Enrollment ID | O20190916002534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467007401 | NPI | - | NPPES |
| 04033776 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shaun P Crimmins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073821658 PECOS PAC ID: 4880919810 Enrollment ID: I20150213000557 |
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