JUDITH F ROZSA MSW CSW CAC PC NPI 1679648760

NPI Information

NPI: 1679648760
Provider Name: JUDITH F ROZSA MSW CSW CAC PC

Doing Business As: CLINICAL COUNSELING ASSOCIATES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
770 JAMES STREET
SUITE 215
SYRACUSE, NY
ZIP 13203
Phone: (315) 422-0571
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JUDITH F ROZSA MSW CSW CAC PC is a rehabilitation and substance use disorder clinic center in Syracuse, NY. JUDITH F ROZSA MSW CSW CAC PC NPI is 1679648760. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinical Counseling Associates.

The provider's business location address is:

770 JAMES STREET
SUITE 215
SYRACUSE, NY
ZIP 13203
Phone: (315) 422-0571
Fax: (315) 422-2734

The provider's authorized official is Judi F Rozsa .
The authorized official title is Director and has the following contact phone number (315) 422-0571.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01706147	MEDICAID	NEW 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

NPI Synchronization or Removal

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