| Adirondack Samaritan Counseling Center, Inc | |
|
15 Boulevard St Hudson Falls NY 12839-1001 | |
| (518) 747-2994 | |
| (518) 747-2996 |
| Full Name | Adirondack Samaritan Counseling Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 Boulevard St, Hudson Falls, New York |
| Authorized Official Name and Position | Douglas Stephens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5187472994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Samaritan Counseling Center, Inc 15 Boulevard St Hudson Falls NY 12839-1001 Ph: (518) 747-2994 | Adirondack Samaritan Counseling Center, Inc 15 Boulevard St Hudson Falls NY 12839-1001 Ph: (518) 747-2994 |
| NPI Number | 1437213097 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 03/20/2009 |
| Medicare PECOS PAC ID | 2466446117 |
|---|---|
| Medicare Enrollment ID | O20040414000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437213097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Carol M Leo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710916150 PECOS PAC ID: 3173528395 Enrollment ID: I20060921000608 |
| Provider Name | Bryant B Vallie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558461624 PECOS PAC ID: 9830277722 Enrollment ID: I20080417000243 |
| Provider Name | Karen M Weidner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346303732 PECOS PAC ID: 7012104953 Enrollment ID: I20101206000029 |
| Provider Name | Maria C Luciani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538464862 PECOS PAC ID: 2264734029 Enrollment ID: I20160111001855 |
| Provider Name | Elizabeth Wilson Heathcote |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801109582 PECOS PAC ID: 1759684855 Enrollment ID: I20160125000138 |
| Provider Name | Holly S Spire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114296100 PECOS PAC ID: 0941596266 Enrollment ID: I20160912002254 |
| Provider Name | Alli J Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598381568 PECOS PAC ID: 0042677064 Enrollment ID: I20230607001293 |
Adirondack Samaritan Licensed Clinical Social Work Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Boulevard St, Hudson Falls, NY 12839 Phone: 518-747-2994 Fax: 518-747-2996 |