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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JERRY FRANK MAIELLO JR., LCSW

Active Sole Proprietor

MR. JERRY FRANK MAIELLO JR., LCSW is a Clinical Social Worker healthcare provider located in BALLSTON LAKE, New York. NPI 1124053897 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BALLSTON LAKE, NY

Registration Details

NPI Number
1124053897
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2006 (19.912303209414 yrs)
Last Updated
Jul 8, 2007
License
PR024915-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
331 USHERS ROAD
NORTHWAY 10 PROFESSIONAL PARK
BALLSTON LAKE, NY, 12019
Browse NY providers · Browse ZIP 12019
Phone
5183711122
Fax
5184376565
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BALLSTON LAKE, NY

Name Credential NPI
DEBORAH R ARMSTRONG LCSW 1932141876
ELLEN OZAROW BROWN LCSW 1316003445
TIFFANY A TESSITORE MSW, LISW 1710166194
MRS. KELLY S MALLOCH LMSW 1972786432
BENJAMIN MCCORMACK LCSW 1629587266
HOLLY ELIZABETH PARKER LCSW 1821657727
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.