| Drn Counseling-consulting Services, Lcsw, Pllc | |
|
2621 Genesee St Utica NY 13501-6216 | |
| (315) 507-3858 | |
| (315) 507-2179 |
| Full Name | Drn Counseling-consulting Services, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2621 Genesee St, Utica, New York |
| Authorized Official Name and Position | Dominick R Nicotera (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3155340440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drn Counseling-consulting Services, Lcsw, Pllc 2606 Genesee St Utica NY 13502-6003 Ph: (315) 534-0440 | Drn Counseling-consulting Services, Lcsw, Pllc 2621 Genesee St Utica NY 13501-6216 Ph: (315) 507-3858 |
| NPI Number | 1336522143 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Medicare PECOS PAC ID | 9537543210 |
|---|---|
| Medicare Enrollment ID | O20220830000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336522143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 079360-1 (New York) | Primary |
| Provider Name | Dominick R Nicotera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093947640 PECOS PAC ID: 9234394156 Enrollment ID: I20120711000100 |
| Provider Name | Jessica A Trifiletti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376893982 PECOS PAC ID: 8224370226 Enrollment ID: I20190423001029 |
| Provider Name | Jamie L Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366972598 PECOS PAC ID: 4082082664 Enrollment ID: I20221202000444 |
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