1932141876 NPI number — DEBORAH R ARMSTRONG LCSW

Table of content: DEBORAH R ARMSTRONG LCSW (NPI 1932141876)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932141876 NPI number — DEBORAH R ARMSTRONG LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMSTRONG
Provider First Name:
DEBORAH
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932141876
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 USHERS RD
Provider Second Line Business Mailing Address:
NORTHWAY 10 EXECUTIVE PARK
Provider Business Mailing Address City Name:
BALLSTON LAKE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12019-1547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-877-5911
Provider Business Mailing Address Fax Number:
518-877-7574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
315 USHERS RD
Provider Second Line Business Practice Location Address:
NORTHWAY 10 EXECUTIVE PARK
Provider Business Practice Location Address City Name:
BALLSTON LAKE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12019-1547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-371-1192
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  R023977-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110877765 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7332639 . This is a "NYS EMPIRE PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 61635 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: N1P651 . This is a "MAGELLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000494717004 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 137077 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7481983 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000494717004 . This is a "BLUE SHIEL OF NORTHEASTER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7186064 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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