Healthcare Provider Details

I. General information

NPI: 1679366991
Provider Name (Legal Business Name): NANCY DEUMAGA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 STATE ST
SCHENECTADY NY
12307-1511
US

IV. Provider business mailing address

1023 STATE ST
SCHENECTADY NY
12307-1511
US

V. Phone/Fax

Practice location:
  • Phone: 518-831-6937
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number125601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: