| Amy Stolberg, Lcsw, Pc | |
|
919 Winton Rd S Ste 211 Rochester NY 14618-1637 | |
| (585) 739-6968 | |
| Not Available |
| Full Name | Amy Stolberg, Lcsw, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 919 Winton Rd S Ste 211, Rochester, New York |
| Authorized Official Name and Position | Amy N Stolberg (OWNER/ PROVIDER) |
| Authorized Official Contact | 5857396968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Stolberg, Lcsw, Pc 76 Sonora Pkwy Rochester NY 14618-1314 Ph: (585) 739-6968 | Amy Stolberg, Lcsw, Pc 919 Winton Rd S Ste 211 Rochester NY 14618-1637 Ph: (585) 739-6968 |
| NPI Number | 1811644479 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 01/13/2023 |
| Certification Date | 01/13/2023 |
| Medicare PECOS PAC ID | 6406227388 |
|---|---|
| Medicare Enrollment ID | O20230201001585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811644479 | NPI | - | NPPES |
| 03586725 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Stolberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477808624 PECOS PAC ID: 1254584956 Enrollment ID: I20130109000008 |
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