Provider Demographics
NPI:1134133754
Name:ADIRONDACK SOCIAL WORK SERVICES PC
Entity Type:Organization
Organization Name:ADIRONDACK SOCIAL WORK SERVICES PC
Other - Org Name:HEALING WOODS COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST COOWNER PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KLAUS
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:MEISSNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW CASAC
Authorized Official - Phone:518-359-2623
Mailing Address - Street 1:206 COREYS RD
Mailing Address - Street 2:
Mailing Address - City:TUPPER LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12986
Mailing Address - Country:US
Mailing Address - Phone:518-359-2623
Mailing Address - Fax:518-359-8255
Practice Address - Street 1:206 COREYS RD
Practice Address - Street 2:
Practice Address - City:TUPPER LAKE
Practice Address - State:NY
Practice Address - Zip Code:12986
Practice Address - Country:US
Practice Address - Phone:518-359-2623
Practice Address - Fax:518-359-8255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3437103TA0400X
NYR036992104100000X
NYR0376991104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7480610OtherVALUE OPTIONS