| Stephanie Jackman Lcsw Pllc | |
|
360 Wellington Ave Rochester NY 14619-1210 | |
| (585) 358-6827 | |
| Not Available |
| Full Name | Stephanie Jackman Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 360 Wellington Ave, Rochester, New York |
| Authorized Official Name and Position | Stephanie Jackman (OWNER) |
| Authorized Official Contact | 5858616827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Jackman Lcsw Pllc 360 Wellington Ave Rochester NY 14619-1210 Ph: () - | Stephanie Jackman Lcsw Pllc 360 Wellington Ave Rochester NY 14619-1210 Ph: (585) 358-6827 |
| NPI Number | 1427663269 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Certification Date | 09/09/2020 |
| Medicare PECOS PAC ID | 6608287453 |
|---|---|
| Medicare Enrollment ID | O20201130001026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427663269 | NPI | - | NPPES |
| 0349709 | Other | NY | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Jackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679721468 PECOS PAC ID: 4082968276 Enrollment ID: I20181106001461 |
| Provider Name | Elizabeth M Montcalm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346793635 PECOS PAC ID: 2860806601 Enrollment ID: I20210205002136 |
| Provider Name | Ivan A Matthew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245977768 PECOS PAC ID: 3779966775 Enrollment ID: I20220823002911 |
Khadijah Tillman, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Chelmsford Rd, Rochester, NY 14618 Phone: 585-713-2071 Fax: 585-461-5503 | |
Sleep Insights Management Services,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Hagen Dr, Suite 120, Rochester, NY 14625 Phone: 585-385-6070 | |
Linden Oaks Sexual Abuse Treatment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Linden Oaks Ste 200, Rochester, NY 14625 Phone: 585-586-6840 Fax: 585-586-7951 | |
Gaskill Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Weiland Rd Ste 200, Rochester, NY 14626 Phone: 585-510-6110 Fax: 585-684-8362 | |
Strong Tower Mental Health Counseling Of New York, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Northaven Ter, Rochester, NY 14621 Phone: 631-835-5864 | |
Wingspan Counseling Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 95 Allens Creek Rd Ste 9, Rochester, NY 14618 Phone: 585-568-7864 Fax: 855-523-1669 | |
Naomi Smith Mental Health Counselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Flower Dale Dr, Rochester, NY 14626 Phone: 585-204-0806 |