| Katharine Macy Nicholson, LMFT | |
|
127 W State St, Ithaca, NY 14850-5474 | |
| (607) 273-7494 | |
| (607) 273-7484 |
| Full Name | Katharine Macy Nicholson |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 127 W State St, Ithaca, 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 |
|---|---|---|---|
| 1578845822 | NPI | - | NPPES |
| 1336163963 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Family & Childrens Service Of Ithaca Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124176680 PECOS PAC ID: 0446249957 Enrollment ID: O20040510001270 |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine Macy Nicholson, LMFT 702 Valley Rd, Brooktondale, NY 14817-9704 Ph: (607) 351-7520 | Katharine Macy Nicholson, LMFT 127 W State St, Ithaca, NY 14850-5474 Ph: (607) 273-7494 |
Ms. Mary Kate Lenihan, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 127 W State St, Ithaca, NY 14850 Phone: 607-273-7494 Fax: 607-273-7484 | |
Ms. Ellen Rachel Abrams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 South Seneca St, Suite 200, Ithaca, NY 14850 Phone: 607-387-8205 | |
Daniel Benjamin Hodge, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 127 W State St, Ithaca, NY 14850 Phone: 607-273-7494 | |
Mrs. Amanda L Asrelsky, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 207 Worth St, Ithaca, NY 14850 Phone: 860-830-6228 | |
Lynnie Jane Westafer, MA MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 127 W State St, Ithaca, NY 14850 Phone: 607-273-7494 | |
Joanne C Conway Pietrasz, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 East Green St, Ithaca, NY 14850 Phone: 607-274-6230 Fax: 607-274-6316 | |
Laura Katherine Ward, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 127 W State St, Ithaca, NY 14850 Phone: 607-273-7494 |