Healthcare Provider Details
I. General information
NPI: 1205774791
Provider Name (Legal Business Name): SEASONS OF CHANGE COUNSELING, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34 JAY ST
SCHENECTADY NY
12305-1971
US
IV. Provider business mailing address
34 JAY ST
SCHENECTADY NY
12305-1971
US
V. Phone/Fax
- Phone: 518-205-3348
- Fax: 518-995-9224
- Phone: 518-205-3348
- Fax: 518-995-9224
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
OSSENFORT
Title or Position: OWNER
Credential: LCSW
Phone: 518-414-9070