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Orchard Blue Counseling Services Lcsw, PLLC

Social Worker, Clinical in Saint Albans, NY. Organization (NPI-2).

NPI number1831789957
StatusActive
Last updated in NPPESFeb 24, 2025

Details

NPI
1831789957
Entity type
Organization (NPI-2)
Legal business name
Orchard Blue Counseling Services Lcsw, PLLC
Organization subpart
No
Enumeration date
Jan 22, 2021
Certification date
Feb 24, 2025
Last updated
Feb 24, 2025

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 codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

19019 Linden Blvd Ste
Saint Albans, NY 11412-3361

Phone 516-200-1174 · Fax 929-529-7453

Mailing address

19019 Linden Blvd Ste
Saint Albans, NY 11412-3361

Phone 516-200-1174 · Fax 929-529-7453

Other practice locations

18915 119th Ave
Saint Albans, NY 11412-3322

Phone 516-200-1174 · Fax 929-529-7453

Authorized official

Cerene L Prince
Owner/Licensed Clinical Social Work
5163412727

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.

Other Clinical Social Worker providers in Saint Albans, NY

All 12 Clinical Social Worker providers in Saint Albans · All 563 providers in Saint Albans

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