| Connections Counseling Psychotherapy Lcsw Pllc | |
|
6 Duzine Rd New Paltz NY 12561-1304 | |
| (845) 255-5022 | |
| (845) 943-6757 |
| Full Name | Connections Counseling Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Duzine Rd, New Paltz, New York |
| Authorized Official Name and Position | Ruth Lin Campbell (MANAGING MEMBER/OWNER) |
| Authorized Official Contact | 8452555022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections Counseling Psychotherapy Lcsw Pllc 41 Main St Unit 1235 New Paltz NY 12561-9838 Ph: (845) 255-5022 | Connections Counseling Psychotherapy Lcsw Pllc 6 Duzine Rd New Paltz NY 12561-1304 Ph: (845) 255-5022 |
| NPI Number | 1639565120 |
|---|---|
| Provider Enumeration Date | 04/10/2015 |
| Last Update Date | 04/21/2015 |
| Medicare PECOS PAC ID | 4981914421 |
|---|---|
| Medicare Enrollment ID | O20151112001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639565120 | NPI | - | NPPES |
| 02538778 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 044725 (New York) | Primary |
| Provider Name | Ruth L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023173556 PECOS PAC ID: 4385633049 Enrollment ID: I20040507001125 |
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