MEDICARE: SETH VADNEY LMSW

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
1	1041S0200X	School Social Worker	124411	NY

General Provider Information

NPI Number	:	1952289829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SETH VADNEY LMSW

Provider Business Mailing Address
First Line	:	3 OAKWOOD LN
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-3115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 SANFORD ST
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-2931
Country	:	US
Telephone Number	:	518-761-6964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	08/26/2025

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