| Essentia Telehealth Wellness, Lcsw, Pllc | |
|
110 Mechanic St Fayetteville NY 13066-1333 | |
| (505) 365-1519 | |
| Not Available |
| Full Name | Essentia Telehealth Wellness, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 110 Mechanic St, Fayetteville, New York |
| Authorized Official Name and Position | Enrique Antonio Rosario (CO-OWNER) |
| Authorized Official Contact | 5053651519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Telehealth Wellness, Lcsw, Pllc 110 Mechanic St Fayetteville NY 13066-1333 Ph: (505) 365-1519 | Essentia Telehealth Wellness, Lcsw, Pllc 110 Mechanic St Fayetteville NY 13066-1333 Ph: (505) 365-1519 |
| NPI Number | 1184459448 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 7315477650 |
|---|---|
| Medicare Enrollment ID | O20250217000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184459448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Enrique A Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053467753 PECOS PAC ID: 5799854410 Enrollment ID: I20080521000576 |
| Provider Name | Nicole E Lovass-nagy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366966590 PECOS PAC ID: 6103351549 Enrollment ID: I20241122000761 |
Barb Shepard Licensed Mental Health Counselor Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 East Genesee Street, Building C, Fayetteville, NY 13066 Phone: 315-313-4075 | |
Essentia Telehealth And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Mechanic St, Fayetteville, NY 13066 Phone: 505-365-1519 Fax: 315-637-8557 | |
Consultation Services Of Central New York - Medicine Provider, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7030 E Genesee St, Suite 109, Fayetteville, NY 13066 Phone: 315-560-6919 | |
Harmony Counseling Cny Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6838 E Genesee St, Fayetteville, NY 13066 Phone: 315-877-1530 | |
Psychological Services For Self And Family, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 523 E Genesee St, Fayetteville, NY 13066 Phone: 315-637-9131 Fax: 315-637-9151 | |
Word Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 Phone: 315-400-7441 |