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PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC NPI 1346769734


NPI Information

NPI: 1346769734
Provider Name: PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
115 FALL ST
SENECA FALLS, NY
ZIP 13148
Phone: (315) 515-5183
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PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC is a clinical social worker in Seneca Falls, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. PRESENCE SEALY COUNSELING AND DEVELOPMENT LICENSEDCLINICALSERVICESPLLC NPI is 1346769734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 FALL ST
SENECA FALLS, NY
ZIP 13148-498
Phone: (315) 515-5183
Fax: (315) 515-5194

The provider's authorized official is Jamee M. Sealy .
The authorized official title is Owner and has the following contact phone number (315) 568-8894.

The enumeration date for this NPI number is 9/17/2017 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalR036144-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105325920MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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