Come to the Table Counseling LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COME TO THE TABLE COUNSELING LCSW

Practice address

40 Main St Lowr
Camden, NY 13316-1302

Phone

(315) 335-9727

NPI assigned

Nov 25, 2020

Last updated

Nov 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica M Perusse, LCSW-RNPI 1144748252

Title

Psychotherapist/Owner

Phone

(315) 335-9727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Marie Perusse, LCSW

  • Clinical Social Worker
  • Camden, NY
  • NPI 1144748252
  Medicare reassignment Care Compare group NPD Authorized official
• Jane Marie Clark, LMSW

  • Social Worker
  • Utica, NY
  • NPI 1124452537
  Medicare reassignment Care Compare group NPD
• Julie Ann Noti, LCSW

  • Clinical Social Worker
  • Camden, NY
  • NPI 1730966151
  Medicare reassignment Care Compare group NPD
• Jade Kirsten Kemp

  • Mental Health Counselor
  • Williamstown, NY
  • NPI 1033725023
  Medicare reassignment NPD
• Tracey Lazore, MSW

  • Clinical Social Worker
  • Camden, NY
  • NPI 1548996887
  Medicare reassignment NPD
• Michelle Lynn Williams

  • Clinical Social Worker
  • Camden, NY
  • NPI 1497790521
  Medicare reassignment NPD
• Amy Olivia Redmond

  • Social Worker
  • Camden, NY
  • NPI 1154058196
  NPD
• Ashley Clarke-Arnold

  • Social Worker
  • Fulton, NY
  • NPI 1700541935
  NPD (past)
• Samantha Walker

  • Social Worker
  • Camden, NY
  • NPI 1821638115
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1093319576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 WILSON RD E",
            "city": "TABERG",
            "state": "NY",
            "postal_code": "134712037",
            "telephone_number": "315-335-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST LOWR",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161302",
            "telephone_number": "315-335-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COME TO THE TABLE COUNSELING LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "PERUSSE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "315-335-9727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05560238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jacqueline Anne Chilluffo
• Sarah Christmas, OT
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• Emily Marie Cooper, MSOT
• DME Consulting Agency LLC (Kinney Homecare Equipment and Supplies)
• Alison Marie Eisnor-Pitcher, MSOTR/L
• Sabah Ahmeida Elmasouri, BDS DMD
• Family Health NP Connections (Family Health NP Connections, PLLC)

• Clinical Social Worker in Camden, NY
• Providers in Camden, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.