| E.m. Gotthardt, Lcsw, Pllc | |
|
71 Risley St Hancock NY 13783-1011 | |
| (607) 238-3459 | |
| Not Available |
| Full Name | E.m. Gotthardt, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 71 Risley St, Hancock, New York |
| Authorized Official Name and Position | Erin Marie Gotthardt (OWNER) |
| Authorized Official Contact | 6072383459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E.m. Gotthardt, Lcsw, Pllc Po Box 504 Hancock NY 13783-0504 Ph: (607) 238-3459 | E.m. Gotthardt, Lcsw, Pllc 71 Risley St Hancock NY 13783-1011 Ph: (607) 238-3459 |
| NPI Number | 1174244610 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174244610 | NPI | - | NPPES |
| 1134550957 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |