| Lauren Widmark, LMHC | |
|
106 Vineyard Ave, Highland, NY 12528-1422 | |
| (845) 691-9191 | |
| Not Available |
| Full Name | Lauren Widmark |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 106 Vineyard Ave, Highland, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043853344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 007217 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Specialty Group Pa | 8921466228 | 618 |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240621000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Widmark, LMHC 106 Vineyard Ave, Highland, NY 12528-1422 Ph: (845) 691-9191 | Lauren Widmark, LMHC 106 Vineyard Ave, Highland, NY 12528-1422 Ph: (845) 691-9191 |
Lawrence John Quintiliani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Lisa Dr., Highland, NY 12528 Phone: 845-691-6502 Fax: 845-691-6502 | |
Ryan Waaland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 280 Ny-299, Highland, NY 12528 Phone: 845-419-0850 | |
Teresa Hawkins, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Vineyard Ave, Highland, NY 12528 Phone: 845-691-9191 | |
Ms. Kimberly Kish, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Gabrity Rd, Highland, NY 12528 Phone: 845-202-2007 | |
Nora Gagnon, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Vineyard Ave, Highland, NY 12528 Phone: 845-691-9191 | |
Ms. Barbara Brown, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Vineyard Avenue, Highland, NY 12428 Phone: 845-691-9191 Fax: 845-691-9339 |