Provider Demographics
NPI:1598044869
Name:MESSERSMITH, HOLLY M (LCSW)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:MESSERSMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BUFFINGTON STREET
Mailing Address - Street 2:BLDG. 25, STE 315
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-4000
Mailing Address - Country:US
Mailing Address - Phone:518-270-1518
Mailing Address - Fax:
Practice Address - Street 1:1 BUFFINGTON ST STE 315
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-4050
Practice Address - Country:US
Practice Address - Phone:518-270-1518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical