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General NPI Number Information
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NPI Number | 1134133754
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Entity Type | Organization
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Legal Business Name | ADIRONDACK SOCIAL WORK SERVICES PC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 206 COREYS RD
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City | TUPPER LAKE
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State | NY
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Zip | 12986
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Country | US
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Telephone | 518-359-2623
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Fax | 518-359-8255
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Provider Business Mailing Address
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Address Line | 206 COREYS RD
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City | TUPPER LAKE
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State | NY
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Zip | 12986
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Country | US
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Telephone | 518-359-2623
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Fax | 518-359-8255
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Authorized Official
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Title or Position | THERAPIST COOWNER PARTNER
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Name | MR. KLAUS ERIC MEISSNER
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Credential | LCSW CASAC
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Telephone | 518-359-2623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 3437
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | R036992
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | R0376991
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License Number State | NY
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