| Nicole Gerace Lcsw Pllc | |
|
56 Shepard St Ste 1 Walton NY 13856-1109 | |
| (607) 865-7931 | |
| (607) 865-5790 |
| Full Name | Nicole Gerace Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 56 Shepard St Ste 1, Walton, New York |
| Authorized Official Name and Position | Nicole Gerace (SOLE PROPRIETOR) |
| Authorized Official Contact | 6074329039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Gerace Lcsw Pllc Po Box 365 Walton NY 13856-0365 Ph: (607) 865-7931 | Nicole Gerace Lcsw Pllc 56 Shepard St Ste 1 Walton NY 13856-1109 Ph: (607) 865-7931 |
| NPI Number | 1811430168 |
|---|---|
| Provider Enumeration Date | 11/18/2016 |
| Last Update Date | 01/14/2026 |
| Certification Date | 01/14/2026 |
| Medicare PECOS PAC ID | 9436430139 |
|---|---|
| Medicare Enrollment ID | O20170111000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811430168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R061074 (New York) | Primary |
| Provider Name | Nicole Gerace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164414124 PECOS PAC ID: 7911967054 Enrollment ID: I20041013001107 |
Catherine Mccarthy Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4664 County Highway 23, Walton, NY 13856 Phone: 713-410-5607 | |
Delaware County Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 243 Delaware Street, Walton, NY 13856 Phone: 607-832-5888 Fax: 607-832-6081 |