Mary Ellen Tremblay, LCSW
Social Worker, Clinical in Troy, NY. Individual provider (NPI-1).
NPI number1720384530
StatusActive
Last updated in NPPESJan 27, 2011
Details
- NPI
- 1720384530
- Entity type
- Individual (NPI-1)
- Name
- Mary Ellen Tremblay
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2011
- Last updated
- Jan 27, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R037509-1 | NY | Yes |
Practice location
239 S Lake AveTroy, NY 12180-7010
Phone 518-273-7948
Mailing address
239 S Lake AveTroy, NY 12180-7010
Phone 518-273-7948
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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