Tacey A Shannon (NPI# 1992101505, PAC ID# 0042567166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1992101505 |
| PAC ID by PECOS | 0042567166 |
| Professional Enrollment ID | I20180720001070 |
| Full Name | Tacey A Shannon |
| Organization Legal Name | OSIKA AND SCARANO PSYCHOLOGICAL SERVICES PC |
| Address |
5 Pine St Glens Falls NY 12801-3502 |
| Phone Number | 5187450079 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1456373091 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5 Pine St, Glens Falls, NY 12801-3502 | 5187450079 | OSIKA AND SCARANO PSYCHOLOGICAL SERVICES PC |
| Organization Legal Name | OSIKA AND SCARANO PSYCHOLOGICAL SERVICES PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Scarano Osika | Psychologist, Clinical | Osika and Scarano Psychological Services PC | 5 Pine St, Glens Falls, NY 12801-3502 |
| Thomas S Osika | Psychologist, Clinical | Osika and Scarano Psychological Services PC | 5 Pine St, Glens Falls, NY 12801-3502 |
| Street Address |
5 PINE ST |
| City | GLENS FALLS |
| State | NY |
| Zip | 12801-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Scarano Osika | Psychologist, Clinical | Osika and Scarano Psychological Services PC | 5 Pine St, Glens Falls, NY 12801-3502 |
| Thomas S Osika | Psychologist, Clinical | Osika and Scarano Psychological Services PC | 5 Pine St, Glens Falls, NY 12801-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara A Bedore | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Susan C Boggia | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Debra J Pietrangelo | Psychologist, Clinical | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Lynn M Edgerly | Clinical Social Worker | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Brenda J Arley | Certified Clinical Nurse Specialist (cns) | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Joseph Mckay | Clinical Social Worker | 498 Glen St, Glens Falls, NY 12801-2230 | |
| Peter M Hughes | Urology | 526 Glen St, Glens Falls, NY 12801-2232 | |
| Terry L Walton | Optometry | Terry L Walton Doctor of Optometry PC | 575 Glen St, Box 2071, Glens Falls, NY 12801-2243 |
| Brenda M Dobie | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Richard S Price | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Find all physicians in zip 12801 | |||
| City | GLENS FALLS |
| Zip Code | 12801 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GLENS FALLS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Tacey A Shannon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.