Provider Demographics
NPI:1346139011
Name:MCGEE, EPIPHANY MONIQUE
Entity type:Individual
Prefix:
First Name:EPIPHANY
Middle Name:MONIQUE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FENIMORE TRACE APTS APT B
Mailing Address - Street 2:
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-1774
Mailing Address - Country:US
Mailing Address - Phone:518-729-6955
Mailing Address - Fax:
Practice Address - Street 1:10 FENIMORE TRACE APTS APT B
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-1774
Practice Address - Country:US
Practice Address - Phone:518-729-6955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1003131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical