| Nancy A Radecki Lcsw Pc | |
|
290 Elwood Davis Rd Ste 301 Liverpool NY 13088-2127 | |
| (315) 530-7986 | |
| (315) 934-4501 |
| Full Name | Nancy A Radecki Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 290 Elwood Davis Rd Ste 301, Liverpool, New York |
| Authorized Official Name and Position | Nancy A Radecki (OWNER) |
| Authorized Official Contact | 3155307986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy A Radecki Lcsw Pc 290 Elwood Davis Rd Ste 301 Liverpool NY 13088-2127 Ph: (315) 530-7986 | Nancy A Radecki Lcsw Pc 290 Elwood Davis Rd Ste 301 Liverpool NY 13088-2127 Ph: (315) 530-7986 |
| NPI Number | 1992289623 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 09/19/2018 |
| Medicare PECOS PAC ID | 6608111448 |
|---|---|
| Medicare Enrollment ID | O20181221002149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992289623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy A Radecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245478304 PECOS PAC ID: 8820155377 Enrollment ID: I20090327000044 |
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