Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EASTERN DOOR LICENSED CLINICAL SOCIAL WORK, PC
Active OrganizationClinical Social Worker · RENSSELAER, NY
Registration Details
- NPI Number
- 1528500337
- Provider Type
- Organization
- NPI Issued
- Nov 10, 2016 (9.486705225475 yrs)
- Last Updated
- Mar 26, 2025
Practice Information
- Address
-
620 WASHINGTON AVERENSSELAER, NY, 121441300Browse NY providers · Browse ZIP 12144
- Phone
- 5182527073
- Fax
- 5182527073
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.