| Sp Clinical Services Lcsw, Pllc | |
|
8469 Seneca Tpke New Hartford NY 13413-4902 | |
| (315) 525-8048 | |
| Not Available |
| Full Name | Sp Clinical Services Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8469 Seneca Tpke, New Hartford, New York |
| Authorized Official Name and Position | Sonya Lissette Piersma (OWNER) |
| Authorized Official Contact | 3155258048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sp Clinical Services Lcsw, Pllc 8026 Cider St Oriskany NY 13424-3704 Ph: (315) 525-8048 | Sp Clinical Services Lcsw, Pllc 8469 Seneca Tpke New Hartford NY 13413-4902 Ph: (315) 525-8048 |
| NPI Number | 1396540415 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396540415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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