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NPI Code Detail

MEDICARE: HEATHER ALDRIDGE-VENITUCCI, LCSW, PLLC

MEDICARE: HEATHER ALDRIDGE-VENITUCCI, LCSW, PLLC
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
11041C0700XClinical Social Worker

Other Identifiers

General Provider Information

NPI Number : 1982344024
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEATHER ALDRIDGE-VENITUCCI, LCSW, PLLC
Provider Business Mailing Address
First Line : 2729 ALBANY POST RD
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-2158
Country : US
Telephone Number : 91-741-2372
Fax Number : 718-504-9623
Provider Business Practice Location Address
First Line : 2729 ALBANY POST RD
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-2158
Country : US
Telephone Number : 91-741-2372
Fax Number : 718-504-9623
Authorized Official
Title or Position : OWNER/PROVIDER
Name : HEATHER ALDRIDGE-VENITUCCI
Credential : LCSW-R
Telephone Number : 917-412-3723
Provider Enumeration Date : 03/29/2022
Last Update Date : 02/03/2024

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