| Come To The Table Counseling Lcsw | |
|
40 Main St Lowr Camden NY 13316-1302 | |
| (315) 335-9727 | |
| Not Available |
| Full Name | Come To The Table Counseling Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 40 Main St Lowr, Camden, New York |
| Authorized Official Name and Position | Jessica M Perusse (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 3153359727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Come To The Table Counseling Lcsw 4097 Wilson Rd E Taberg NY 13471-2037 Ph: (315) 335-9727 | Come To The Table Counseling Lcsw 40 Main St Lowr Camden NY 13316-1302 Ph: (315) 335-9727 |
| NPI Number | 1093319576 |
|---|---|
| Provider Enumeration Date | 11/25/2020 |
| Last Update Date | 11/25/2020 |
| Certification Date | 11/25/2020 |
| Medicare PECOS PAC ID | 1951788090 |
|---|---|
| Medicare Enrollment ID | O20220511001821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093319576 | NPI | - | NPPES |
| 05560238 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jane M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124452537 PECOS PAC ID: 8527320688 Enrollment ID: I20180329002017 |
| Provider Name | Jessica Marie Perusse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144748252 PECOS PAC ID: 4789922006 Enrollment ID: I20190212002541 |
| Provider Name | Michelle Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497790521 PECOS PAC ID: 9335501063 Enrollment ID: I20230814000473 |
| Provider Name | Julie Noti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730966151 PECOS PAC ID: 9638527187 Enrollment ID: I20231122001819 |
| Provider Name | Jade Kirsten Kemp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033725023 PECOS PAC ID: 8628594884 Enrollment ID: I20250430001992 |
Reflections Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Church St Ste 5, Camden, NY 13316 Phone: 315-245-0345 Fax: 315-245-0346 |