CONSTANCE M WALCK (NPI# 1184802548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184802548 |
| Entity Type | Individual |
| Full Name | CONSTANCE M WALCK |
| Credential | LPC |
| Practice Address |
564 Main St Stroudsburg PA 18360-2004 |
| Mailing Address |
213 E Broad St East Stroudsburg PA 18301-2307 |
| Practice Telephone | 5704208070 |
| Practice Fax Number | 5704246487 |
| Mailing Telephone | 5704200230 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC002712 | PA | Behavioral Health & Social Service Providers |
| Street Address |
564 MAIN ST |
| City | STROUDSBURG |
| State | PA |
| Zip Code | 18360-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404221 | Professional Counseling Consulting & Human Services LLC | Psychiatry & Neurology | 564 Main St, Stroudsburg, PA 18360-2128 | 2020-10-09 |
| 1558900092 | Trisha Ruffalo | Social Worker | 564 Main St, Stroudsburg, PA 18360-2128 | 2020-01-02 |
| 1124415708 | Katrina Clancey | Counselor | 564 Main St, Stroudsburg, PA 18360-2004 | 2015-04-21 |
| 1164692794 | Jennifer Wood Collier | Counselor | 564 Main St, Stroudsburg, PA 18360-2004 | 2008-03-11 |
| 1922276997 | Annette Tapia | Social Worker | 564 Main St, Stroudsburg, PA 18360-2004 | 2008-02-13 |
| 1962686519 | Michelle M Zuccarini | Registered Nurse | 564 Main St, Stroudsburg, PA 18360-2128 | 2007-12-18 |
| 1053505388 | Kimberly Calafiore | Counselor | 564 Main St, Stroudsburg, PA 18360-2004 | 2007-08-29 |
| 1013132190 | Redco Group, LLC | Community/Behavioral Health | 564 Main St, Second Floor, Stroudsburg, PA 18360-2004 | 2007-04-16 |
| 1962535344 | Rebecca Hope Deltoro | Social Worker | 564 Main St, Stroudsburg, PA 18360-2004 | 2007-03-14 |
| 1538145453 | Redco Group, LLC | Community/Behavioral Health | 564 Main St, Second Floor, Stroudsburg, PA 18360-2004 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477026219 | Kelly Lynn Yawger | Acupuncturist | 26 Doolan Road, Dingmans Ferry, PA 18360 | 2019-01-04 |
| 1063982635 | Jennifer Bartell | Pharmacist | 1070 N. Ninth Street, Stroudsburg, PA 18360 | 2018-11-27 |
| 1447755426 | A Mindful Insight Counseling, LLC | Counselor | 900 Scott St, Stroudsburg, PA 18360 | 2018-03-29 |
| 1245735604 | Bix Homes Inc. | Nurse Practitioner | 1318 N 5th St, Stroudsburg, PA 18360 | 2018-03-28 |
| 1508365917 | Jennifer Joan Allen | Counselor | 105 Terrace Drive, Po Box 288, Stroudsburg, PA 18360 | 2018-02-12 |
| 1770006066 | Earlina Elizabeth Rivers | Early Intervention Provider Agency | 5209 Boxwood Lane, Stroudsburg, PA 18360 | 2017-07-19 |
| 1972036804 | Brandt Maloney | Family Medicine | 484 N Easton Belmont Pike, Stroudsburg, PA 18360 | 2017-04-07 |
| 1801336409 | Monroe County Counseling Services, LLC | Counselor | 18 North 7th Street, Suite 200, Stroudsburg, PA 18360 | 2017-03-01 |
| 1609311257 | St. Luke's Hospital Monroe Campus | Preventive Medicine | 200 St. Luke's Lane, Stroudsburg, PA 18360 | 2017-01-05 |
| 1225434194 | Dianne Kristina Colby | Veterinarian | 902 Hickory Valley Rd, Stroudsburg, PA 18360 | 2014-11-05 |
| Find all providers in zip 18360 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365917 | Jennifer Joan Allen | Counselor | 105 Terrace Drive, Po Box 288, Stroudsburg, PA 18360 | 2018-02-12 |
| 1184158966 | Brianna Mazza | Counselor | 564 Main St Unit 3, Stroudsburg, PA 18360-2128 | 2017-04-18 |
| 1750822938 | Jason Michael Miller | Counselor | 1043 Forest Dr, Stroudsburg, PA 18360-1914 | 2017-03-20 |
| 1497116727 | Zaadya Martinez | Counselor | 201 Millertown, Stroudsburg, PA 18360-0201 | 2016-03-15 |
| 1235508599 | Crystal Vatza | Counselor | 140 Neyhart Rd, Stroudsburg, PA 18360-7139 | 2015-09-16 |
| 1346436581 | Paul Vincent Bartoli | Counselor | 604 Sunlite Ln, Stroudsburg, PA 18360-9367 | 2007-09-21 |
| 1194931790 | Sonia Lassen | Counselor | 814 Monroe St Ste 101, Stroudsburg, PA 18360 | 2007-05-14 |
| 1548224926 | Lori Ann Fitch | Counselor | 411 1/2 Main St, Stroudsburg, PA 18360-2486 | 2006-04-13 |
| 1710501481 | Nicole Updegrove | Counselor | 1300 N 5th St Ste 102, Stroudsburg, PA 18360-2609 | 2020-05-29 |
| 1598300808 | Monique Sheppard | Counselor | 745 Main St Ste 204, Stroudsburg, PA 18360-2060 | 2019-11-11 |
| Find all providers in STROUDSBURG | ||||
| City | STROUDSBURG |
| Zip Code | 18360 |
Please comment or provide details below to improve the information on CONSTANCE M WALCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.