| Heather Aldridge-venitucci, Lcsw, Pllc | |
|
2729 Albany Post Rd Montgomery NY 12549-2158 | |
| (091) 741-2372 | |
| (718) 504-9623 |
| Full Name | Heather Aldridge-venitucci, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2729 Albany Post Rd, Montgomery, New York |
| Authorized Official Name and Position | Heather Aldridge-venitucci (OWNER/PROVIDER) |
| Authorized Official Contact | 9174123723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Aldridge-venitucci, Lcsw, Pllc 2729 Albany Post Rd Montgomery NY 12549-2158 Ph: (091) 741-2372 | Heather Aldridge-venitucci, Lcsw, Pllc 2729 Albany Post Rd Montgomery NY 12549-2158 Ph: (091) 741-2372 |
| NPI Number | 1982344024 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 02/03/2024 |
| Certification Date | 02/03/2024 |
| Medicare PECOS PAC ID | 9638511512 |
|---|---|
| Medicare Enrollment ID | O20240523000812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982344024 | NPI | - | NPPES |
| 07731437 | Medicaid | NY | |
| 03337217 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heather R Aldridge-venitucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760775514 PECOS PAC ID: 3173844305 Enrollment ID: I20150601000046 |
The Pastoral Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2139 State Route 17k, Montgomery, NY 12549 Phone: 845-361-2777 |