Equilibrium Psychotherapy Services LCSW PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EQUILIBRIUM PSYCHOTHERAPY SERVICES LCSW PLLC

Practice address

527 Bay Rd Ste 105
Queensbury, NY 12804-1430

Phone

(518) 223-0552

Fax

(518) 223-0513

NPI assigned

Jan 22, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Giovanna Liboria Rovetto-Dean, LCSW-R, CHNPI 1164582995

Title

Owner/Provider/Administrator

Phone

(518) 223-0552

Specialties & licenses 1

Addresses

Other names 1

• Giovanna L. Rovetto-Dean, LCSW-R Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Giovanna L Rovetto-Dean, LCSW-R

  • Clinical Social Worker
  • Queensbury, NY
  • NPI 1164582995
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1043022569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 105",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-223-0552",
            "fax_number": "518-223-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BAY RD STE 105",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041430",
            "telephone_number": "518-223-0552",
            "fax_number": "518-223-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUILIBRIUM PSYCHOTHERAPY SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ROVETTO-DEAN",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_middle_name": "LIBORIA",
        "authorized_official_title_or_position": "OWNER/PROVIDER/ADMINISTRATOR",
        "authorized_official_telephone_number": "518-223-0552",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R, CH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giovanna L. Rovetto-Dean, LCSW-R",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Empire Vision Center Inc
• Lester John Engelbrecht, LMHC
• Emily Rose Ennis, MT-BC
• Tracy Ennis, MS
• Bridget Epiphanie, CLC, PCD
• Schadique Escoffery
• Patrick J Esmond, DDS
• John A Esper, M.D.
• Shayna Espinal, LMSW
• Bernard Guy Ettinger, RPH

• Community/Behavioral Health Agency in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.