| Southern Tier Counseling Center, Llc | |
|
407 W Water St Elmira NY 14905-2521 | |
| (607) 734-0980 | |
| (607) 734-0981 |
| Full Name | Southern Tier Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 407 W Water St, Elmira, New York |
| Authorized Official Name and Position | Kathleen A Webster (OWNER) |
| Authorized Official Contact | 6077340980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Tier Counseling Center, Llc 407 W Water St Elmira NY 14905-2521 Ph: (607) 734-0980 | Southern Tier Counseling Center, Llc 407 W Water St Elmira NY 14905-2521 Ph: (607) 734-0980 |
| NPI Number | 1598716292 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 10/09/2013 |
| Medicare PECOS PAC ID | 1658322805 |
|---|---|
| Medicare Enrollment ID | O20050204000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598716292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R060513-1 (New York) | Primary |
| Provider Name | Kevin Joseph Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699876177 PECOS PAC ID: 8123091683 Enrollment ID: I20040813000873 |
| Provider Name | Ann M Stooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891896361 PECOS PAC ID: 3375594112 Enrollment ID: I20050209000221 |
| Provider Name | Kathleen A Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205937778 PECOS PAC ID: 1355392515 Enrollment ID: I20050622000140 |
| Provider Name | Sandra L Brenen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659472132 PECOS PAC ID: 3072549849 Enrollment ID: I20050714000570 |
| Provider Name | David R Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831139195 PECOS PAC ID: 6406925346 Enrollment ID: I20080519000722 |
| Provider Name | Marcia H Hertzog |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508064551 PECOS PAC ID: 2860654787 Enrollment ID: I20120510000016 |
| Provider Name | Nina A Kolesar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518013861 PECOS PAC ID: 1355561895 Enrollment ID: I20141003000530 |
| Provider Name | George A Funnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154804581 PECOS PAC ID: 6305180225 Enrollment ID: I20181204002336 |
Clinical Social Work And Counseling Services Of The Finger Lakes Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 963 Walnut St, Elmira, NY 14901 Phone: 607-734-1447 Fax: 607-737-6274 | |
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Tinu Addams Medical Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 311 B W Water Street, Elmira, NY 14901 Phone: 607-733-0660 | |
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