| Adirondack Samaritan Licensed Clinical Social Work Pc | |
|
15 Boulevard St Hudson Falls NY 12839-1001 | |
| (518) 747-2994 | |
| (518) 747-2996 |
| Full Name | Adirondack Samaritan Licensed Clinical Social Work Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Boulevard St, Hudson Falls, New York |
| Authorized Official Name and Position | Stephen Douglas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5187472994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adirondack Samaritan Licensed Clinical Social Work Pc 15 Boulevard St Hudson Falls NY 12839-1001 Ph: (518) 747-2994 | Adirondack Samaritan Licensed Clinical Social Work Pc 15 Boulevard St Hudson Falls NY 12839-1001 Ph: (518) 747-2994 |
| NPI Number | 1114160744 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 04/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114160744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New York) | Primary |
Adirondack Samaritan Counseling Center, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15 Boulevard St, Hudson Falls, NY 12839 Phone: 518-747-2994 Fax: 518-747-2996 |