M Christine Prell, LCSW-R CASAC | |
828 State Route 11, Champlain, NY 12919-4966 | |
(518) 298-2691 | |
(518) 298-8241 |
Full Name | M Christine Prell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 828 State Route 11, Champlain, 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 |
---|---|---|---|
1477609691 | NPI | - | NPPES |
03019270 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 075688 (New York) | Primary |
Entity Name | Hudson Headwaters Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
Mailing Address | Practice Location Address |
---|---|
M Christine Prell, LCSW-R CASAC 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | M Christine Prell, LCSW-R CASAC 828 State Route 11, Champlain, NY 12919-4966 Ph: (518) 298-2691 |
Alyson Blake Curry, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 828 State Route 11, Champlain, NY 12919 Phone: 518-298-2691 Fax: 518-298-8241 | |
Sarah Valk, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Walnut St, Suite 006, Champlain, NY 12919 Phone: 518-569-6309 Fax: 518-298-0088 |