Step Ahead Therapuetic Services | |
18 Perry St Auburn NY 13021-2849 | |
(315) 412-3625 | |
(315) 253-5895 |
Full Name | Step Ahead Therapuetic Services |
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Speciality | Community/Behavioral Health |
Location | 18 Perry St, Auburn, New York |
Authorized Official Name and Position | Sally Jean Griswold (OWNER) |
Authorized Official Contact | 3154123625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Step Ahead Therapuetic Services 18 Perry St Auburn NY 13021-2849 Ph: (315) 412-3625 | Step Ahead Therapuetic Services 18 Perry St Auburn NY 13021-2849 Ph: (315) 412-3625 |
NPI Number | 1457775967 |
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Provider Enumeration Date | 02/05/2014 |
Last Update Date | 02/23/2015 |
Medicare PECOS PAC ID | 0244554889 |
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Medicare Enrollment ID | O20150309001345 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457775967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 070548-1 (New York) | Primary |
Provider Name | Sally J Griswold |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275639726 PECOS PAC ID: 7012938301 Enrollment ID: I20051214000661 |
Provider Name | Cynthia R Malek |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154519528 PECOS PAC ID: 3971803164 Enrollment ID: I20151119000845 |
Provider Name | Mandolin M Porter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780934240 PECOS PAC ID: 4880993740 Enrollment ID: I20160427000382 |
Provider Name | Danielle L Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437445368 PECOS PAC ID: 0345522017 Enrollment ID: I20170113000970 |
Provider Name | Heidi E Lieb-graney |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801040167 PECOS PAC ID: 8426443268 Enrollment ID: I20220315000987 |
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