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NPI Code Detail

MEDICARE: SCHUYLER COUNTY MENTAL HEALTH

MEDICARE: SCHUYLER COUNTY MENTAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
21041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000159429OTHERNYBLUE CROSS BLUE SHEILD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003869165
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHUYLER COUNTY MENTAL HEALTH
Provider Business Mailing Address
First Line : 106 S PERRY ST
Second Line : STE 4
City : WATKINS GLEN
State : NY
Zip : 14891-1615
Country : US
Telephone Number : 607-535-8282
Fax Number : 607-535-8284
Provider Business Practice Location Address
First Line : 106 S PERRY ST
Second Line : STE 4
City : WATKINS GLEN
State : NY
Zip : 14891-1615
Country : US
Telephone Number : 607-535-8282
Fax Number : 607-535-8284
Authorized Official
Title or Position : DIRECTOR OF COMMUNITY SERVICES
Name : M SHAWN ROSNO
Credential : LCSW-R
Telephone Number : 607-535-8282
Provider Enumeration Date : 05/18/2006
Last Update Date : 05/28/2015

Similar Medicare Providers

1649226390 — BETH A STRATTON LCSW
Practice Location Address:
106 S PERRY ST , STE 4
WATKINS GLEN, NY
14891-1615
Practice Phone: 607-535-8282
Practice Fax: 607-535-8284
1477509800 — KATHRYN ELIZABETH TUNISON LCSW-R
Practice Location Address:
106 S PERRY ST , STE 4
WATKINS GLEN, NY
14891-1615
Practice Phone: 607-535-8282
Practice Fax: 607-535-8284
1356389225 — SCHUYLER COUNTY
Practice Location Address:
106 S PERRY ST
WATKINS GLEN, NY
14891-1615
Practice Phone: 607-535-8140
Practice Fax: 607-535-8157
1811935372 — MIHAI DASCALU M.D.
Practice Location Address:
106 S PERRY ST , STE 4
WATKINS GLEN, NY
14891-1615
Practice Phone: 607-535-8282
Practice Fax: 607-535-8284
1245271956 — DIANE JORGENSEN SCHMIDT LCSW
Practice Location Address:
106 S PERRY ST , STE 4
WATKINS GLEN, NY
14891-1615
Practice Phone: 607-535-8282
Practice Fax: 607-535-8284
1265474381 — MARCIA N DOUGLAS LCSW R
Practice Location Address:
106 S PERRY ST , STE 4
WATKINS GLEN, NY
14891-1615
Practice Phone: 607-535-8282
Practice Fax: 607-535-8284

Directions to “SCHUYLER COUNTY MENTAL HEALTH ” Practice Location

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