| John Anthony Southworth, LMHC | |
|
532 Moe Rd, Clifton Park, NY 12065-3822 | |
| (518) 383-2425 | |
| (518) 383-3255 |
| Full Name | John Anthony Southworth |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 532 Moe Rd, Clifton Park, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457515199 | NPI | - | NPPES |
| 00318805 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001436-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Anthony Southworth, LMHC 532 Moe Rd, Clifton Park, NY 12065-3822 Ph: (518) 383-2425 | John Anthony Southworth, LMHC 532 Moe Rd, Clifton Park, NY 12065-3822 Ph: (518) 383-2425 |
Elvira Horbata, Counselor Medicare: Not Enrolled in Medicare Practice Location: 636 Plank Rd Ste 209, Clifton Park, NY 12065 Phone: 518-545-4691 | |
Samuel Adam, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Barney Rd Ste 234, Clifton Park, NY 12065 Phone: 518-390-5014 | |
Brigette Reardon, LMHC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 634 Plank Rd Ste 206, Clifton Park, NY 12065 Phone: 518-456-5056 | |
Nicole M Viscusi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 939 Route 146 Ste 610, Clifton Park, NY 12065 Phone: 518-219-8232 Fax: 518-219-0744 | |
Ms. Laurie Jean Coreno -reynolds, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 636 Plank Rd Ste 111, Clifton Park, NY 12065 Phone: 518-383-3356 Fax: 518-371-9936 | |
Emily R Cicardi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Barney Rd, Clifton Park, NY 12065 Phone: 518-428-0611 | |
Carie Preece, Counselor Medicare: Not Enrolled in Medicare Practice Location: 653 Plank Rd, Clifton Park, NY 12065 Phone: 347-839-4105 |