is a Clinical in Albany, New York. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1033269055. The last update date is .
's current location address is 423a New Karner Rd, Albany, New York. You can contact this provider via phone number 5188621974. The mailing address for is 423a New Karner Rd, Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 423a New Karner Rd, Albany, New York |
| Phone Number | 5188621974 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1033269055 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 423a New Karner Rd |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 122053809 |
| Phone Number | 5188621974 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R013041 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52845 | CIGNABEHAVIORALHEALTH | ||
| 33013041A | PREFERRED ASSURANCE CAFRE | ||
| 40839401 | STATEWIDE PPO | ||
| 4054243 | CHAMPUS | ||
| N40511JS | EMPIREBLUECROSSBLUESHIELD | ||
| 130635 | VALUEOPTIONS | ||
| 67242 | GHI |
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