| Family & Children's Service Of The Capital Region Inc. | |
|
650 Warren Street Albany NY 12208 | |
| (518) 462-6531 | |
| (518) 462-0181 |
| Full Name | Family & Children's Service Of The Capital Region Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 Warren Street, Albany, New York |
| Authorized Official Name and Position | Leah E Brewer (OFFICE SUPERVISOR) |
| Authorized Official Contact | 5184626531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Children's Service Of The Capital Region Inc. 650 Warren Street Albany NY 12208 Ph: (518) 462-6531 | Family & Children's Service Of The Capital Region Inc. 650 Warren Street Albany NY 12208 Ph: (518) 462-6531 |
| NPI Number | 1093851925 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 1355498650 |
|---|---|
| Medicare Enrollment ID | O20090402000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093851925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cynthia L Aronson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831296805 PECOS PAC ID: 8921092958 Enrollment ID: I20040413000673 |
| Provider Name | Melissa Swain Goodemote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124117403 PECOS PAC ID: 7618068297 Enrollment ID: I20070810000661 |
| Provider Name | Erin A Oneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902994148 PECOS PAC ID: 9931425758 Enrollment ID: I20150313000065 |
| Provider Name | Kathleen E Hoffman-hart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033357710 PECOS PAC ID: 3779886981 Enrollment ID: I20160121002300 |
| Provider Name | Anne A Guarino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174879654 PECOS PAC ID: 1759653736 Enrollment ID: I20170825002053 |
| Provider Name | Judith Creecy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609000298 PECOS PAC ID: 0143379826 Enrollment ID: I20180529001302 |
| Provider Name | Jonathan P Pollack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033227822 PECOS PAC ID: 8820337827 Enrollment ID: I20190311000608 |
| Provider Name | Micah R Ilowit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972991305 PECOS PAC ID: 5496182628 Enrollment ID: I20200227000895 |
| Provider Name | Nikita J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861055717 PECOS PAC ID: 5395172522 Enrollment ID: I20200227000934 |
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