| Village Counsleing Licensed Clinical Social Work Services Pllc | |
|
280 Madison Ave. Suite #1108 New York NY 10016-0815 | |
| (212) 473-1512 | |
| (518) 719-2620 |
| Full Name | Village Counsleing Licensed Clinical Social Work Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 280 Madison Ave., New York, New York |
| Authorized Official Name and Position | Christopher A Scott (CLINICAL DIRECTOR-OWNER) |
| Authorized Official Contact | 9177475635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Counsleing Licensed Clinical Social Work Services Pllc 238 Kelly Rd. Po#219 East Chatham NY 12060-2104 Ph: (212) 473-1512 | Village Counsleing Licensed Clinical Social Work Services Pllc 280 Madison Ave. Suite #1108 New York NY 10016-0815 Ph: (212) 473-1512 |
| NPI Number | 1780440735 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780440735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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