Elisse Marie Antczak in Snyder - Clinical
Elisse Marie Antczak - NPI 1316008352
Elisse Marie Antczak is a Clinical in Snyder, New York. Elisse Marie Antczak practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elisse Marie Antczak is 1316008352. The last update date is 2022-09-07.
Elisse Marie Antczak's current location address is 3960 Sheridan Drive, Snyder, New York. You can contact this provider via phone number 7162380829 and fax number 7168988802. The mailing address for Elisse Marie Antczak is 3960 Sheridan Drive, Snyder, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elisse Marie Antczak |
|---|---|
| Address | 3960 Sheridan Drive, Snyder, New York |
| Phone Number | 7162380829 |
| Fax Number | 7168988802 |
| Sole Proprietor | Y |
| Credentials | LCSWR |
NPI Number Detail
| NPI Number | 1316008352 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2022-09-07 |
Provider Mailing Address Detail
| Address | 3960 Sheridan Drive |
|---|---|
| City | Snyder |
| State | New York (NY) |
| Post Code | 14226 |
| Phone Number | 7162380829 |
| Fax Number | 7168988802 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R048061-01 |
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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 |
|---|---|---|---|
| 6211545 | NY | INDEPENDENT HEALTH | |
| 26849603 | NY | UNIVERA | |
| 526673002 | NY | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Elisse Marie Antczak by the Centers for Medicare & Medicaid Services?
The Elisse Marie Antczak has been assigned the NPI (National Provider Identifier) 1316008352 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Elisse Marie Antczak?
The Elisse Marie Antczak is physically situated at 3960 Sheridan Drive, in the city of Snyder, state of NY, with the postal code 14226.
What is the Elisse Marie Antczak's area of specialization and corresponding taxonomy classification?
The Elisse Marie Antczak's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Elisse Marie Antczak receive the assignment of its 1316008352 from the Centers for Medicare & Medicaid Services?
The Elisse Marie Antczak was issued its 1316008352 by the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date were the Elisse Marie Antczak's details last updated?
The information pertaining to the Elisse Marie Antczak, including its address, specialty, and other details, was most recently updated on 2022-09-07.
NPI Number: 1609879220
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