| Sue A Elliot Lcsw Pllc | |
|
409 Maple Ave Saratoga Springs NY 12866-5636 | |
| (518) 584-0990 | |
| Not Available |
| Full Name | Sue A Elliot Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 409 Maple Ave, Saratoga Springs, New York |
| Authorized Official Name and Position | Sue Ann Elliot (OWNER) |
| Authorized Official Contact | 5185840990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue A Elliot Lcsw Pllc 103 Squashville Rd Greenfield Center NY 12833-1012 Ph: (518) 584-0990 | Sue A Elliot Lcsw Pllc 409 Maple Ave Saratoga Springs NY 12866-5636 Ph: (518) 584-0990 |
| NPI Number | 1902313539 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 0042579146 |
|---|---|
| Medicare Enrollment ID | O20180118000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902313539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | PR022517-1 (New York) | Primary |
| Provider Name | Sue A Elliot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497853030 PECOS PAC ID: 9830282391 Enrollment ID: I20110321000073 |
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