| Dr Stephanie Helena Poplock, PHD, LCSW | |
|
242 Main Street, Oneonta, NY 13820 | |
| (607) 433-2343 | |
| (607) 433-6229 |
| Full Name | Dr Stephanie Helena Poplock |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 242 Main Street, Oneonta, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841233459 | NPI | - | NPPES |
| 098304 | Other | ME | ANTHEM LEGACY NUMBER |
| 03641807 | Medicaid | NY | |
| J400040149 | Other | NY | MEDICARE PTAN |
| 421230099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 077995 (New York) | Secondary |
| 103T00000X | Psychologist | 018721 (New York) | Primary |
| Entity Name | County Of Otsego |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831145101 PECOS PAC ID: 9032195573 Enrollment ID: O20040625000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Helena Poplock, PHD, LCSW 242 Main Street, Oneonta, NY 13820 Ph: (607) 433-2343 | Dr Stephanie Helena Poplock, PHD, LCSW 242 Main Street, Oneonta, NY 13820 Ph: (607) 433-2343 |
Dr. Joshua Garufi, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Campus Dr, Oneonta, NY 13820 Phone: 607-286-7171 | |
Dr. Susan C Turell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Foxcare Dr Ste 103, Oneonta, NY 13820 Phone: 607-431-5757 | |
Dr. Kenneth S. Walters, PH,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15 Farone Dr Apt B11, Oneonta, NY 13820 Phone: 607-267-7480 | |
Dr. Valerie Lynn Cole, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 107 West St, Oneonta, NY 13820 Phone: 585-766-3967 | |
Mr. Mario Andre Molinaro, MA, LMHC Psychologist Medicare: Medicare Enrolled Practice Location: 137 Shanty Town Rd, Oneonta, NY 13820 Phone: 646-734-6845 |