| Charlene M. Cross Licensed Clinical Social Worker Pllc | |
|
11111 Route 23 Ste 3 Windham NY 12496-1510 | |
| (585) 481-5270 | |
| Not Available |
| Full Name | Charlene M. Cross Licensed Clinical Social Worker Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11111 Route 23 Ste 3, Windham, New York |
| Authorized Official Name and Position | Charlene Cross (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5183215369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charlene M. Cross Licensed Clinical Social Worker Pllc Po Box 176 Windham NY 12496-0176 Ph: (585) 481-5270 | Charlene M. Cross Licensed Clinical Social Worker Pllc 11111 Route 23 Ste 3 Windham NY 12496-1510 Ph: (585) 481-5270 |
| NPI Number | 1376301390 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 07/06/2026 |
| Certification Date | 07/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376301390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Sg Lisenced Behavior Analyst Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Quads Way, Windham, NY 12496 Phone: 917-254-9292 |