CLEARWATER COUNSELING ASSOCIATES LCSW, PLLC (NPI# 1700236775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700236775 |
Entity Type | Organization |
Organization Name | CLEARWATER COUNSELING ASSOCIATES LCSW, PLLC |
Practice Address |
10 Beadart Pl Hyde Park NY 12538-1218 |
Practice Telephone | 5185672225 |
Practice Fax Number | 8458683124 |
Mailing Telephone | 5185672225 |
Mailing Fax Number | 8458683124 |
Enumeration Date | 2016-06-20 |
Last Update Date | 2016-08-04 |
Authorized Official Name | JULES JASON CANEZ (CEO) |
Authorized Official Telephone | 5185672225 |
Authorized Official Credential | LCSWR |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 071192 | NY | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | CLEARWATER COUNSELING ASSOCIATES LCSW, PLLC | 11 Broadway Suite 615, New York, New York 10004 |
Street Address |
10 BEADART PL |
City | HYDE PARK |
State | NY |
Zip Code | 12538-1218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417186362 | Jules Jason Canez | Social Worker | 10 Beadart Pl, Hyde Park, NY 12538-1218 | 2009-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932765294 | Linda Rose Eagleton | Social Worker | Ifh Family Practice Center, 11 Crum Elbow, Hyde Park, NY 12538 | 2019-05-13 |
1275028649 | Kenneth Mark Graig | Specialist | 21 Mansion Dr, Hyde Park, NY 12538 | 2018-06-27 |
1548660301 | Lorraine Little | Licensed Practical Nurse | 1174 Rte. 9g, Hyde Park, NY 12538 | 2014-08-29 |
1770871048 | Sai-kit Tseng | Dentist | 5 Alexander Dr # A, Hyde Park, NY 12538 | 2011-07-20 |
1780989251 | Marion Laluna | Social Worker | 16 Smith Court, Hyde Park, NY 12538 | 2011-01-14 |
1326257528 | Richard W Whalen | Dentist | 7 Pine Woods Road, Hyde Park, NY 12538 | 2007-05-22 |
1891907523 | Saint Franicis Hospotal | General Acute Care Hospital | 192 Roosevelt Road, Hyde Park, NY 12538 | 2007-05-04 |
1083743710 | Cathleen Rose Dowd | Registered Nurse | 4307 Albany Post Road, Hyde Park, NY 12538 | 2007-03-06 |
1184750697 | William Vincent Donohue | Psychiatry & Neurology | 4586 Route 9, Hyde Park, NY 12538 | 2007-02-26 |
1932253978 | Sean Lawrence Martin | Chiropractor | 1083 Violet Avenue, Hyde Park, NY 12538 | 2007-01-23 |
Find all providers in zip 12538 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982178695 | Erica Pierre | Community/Behavioral Health | 48 Ayles Rd, Hyde Park, MA 02136-3727 | 2019-01-15 |
1538542592 | Hope Grows | Community/Behavioral Health | 951 Vt 15 E, Hyde Park, VT 05655-9319 | 2015-07-08 |
1821354606 | Lamour Conseling and Consulting Clinic | Community/Behavioral Health | 19 Reddy Ave, Hyde Park, MA 02136-3741 | 2012-04-06 |
1912412172 | The Child and Family Wellness Center | Community/Behavioral Health | 695 Truman Hwy, Hyde Park, MA 02136-3552 | 2017-12-11 |
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1457959843 | Summit Alternatives Lmsw PC | Community/Behavioral Health | 215 North Cayuga Street, 2nd Floor Business Complex, Ithaca, NY 14850 | 2020-10-16 |
1407462948 | Shawn Muthersbaugh Lcsw Pllc | Community/Behavioral Health | 120 Defreest Dr Ste 175, Troy, NY 12180-7608 | 2020-09-21 |
1245845932 | Grow Healthcare Group Pa | Community/Behavioral Health | 2196 3rd Ave # 20071, New York, NY 10035-3501 | 2020-09-10 |
1104439728 | Andrea Brennan Licensed Mental Health Counseling, Pllc | Community/Behavioral Health | 245 Old Meadow Dr, Rochester, NY 14626-3548 | 2020-08-24 |
1831701630 | Debra L. Terry Lcsw, P.C. | Community/Behavioral Health | 4 Phyllis Dr Ste G, Patchogue, NY 11772-2900 | 2020-08-21 |
1750992079 | Trauma and Resiliency Resources, Inc. | Community/Behavioral Health | Winslow Therapeutic Center, 1433 Ny-17a, Warwick, NY 10990 | 2020-08-11 |
1598383796 | Chemung-schuyler Counties Chapter, Nysarc, Inc. | Community/Behavioral Health | 5297 Parkside Dr Ste 304, Canandaigua, NY 14424-7504 | 2020-07-14 |
1033737895 | Grow Care Inc | Community/Behavioral Health | 141 W 24th St Apt 5, New York, NY 10011-1958 | 2020-07-08 |
1043836943 | Cornerstone Behavioral Services, LLC. | Community/Behavioral Health | 3670 Orchard Rd, Wantagh, NY 11793-3131 | 2020-06-17 |
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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.