Oona Edmands

Individual provider Active NPI Clinical Social Worker · Scotia, NY

NPI 1346355831 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1346355831
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
073682 (NY)
Practice address
220 N Ballston Ave
Scotia, NY 12302-2533
Phone
(518) 374-3514
Fax
(518) 374-9193
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Licensed Clinical Social Work PC (9 clinicians)

Practice addresses (Care Compare)

220 N Ballston Ave
Scotia, NY 12302-2533
Phone (518) 374-3514

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181221000307 NY Practitioner - Clinical Social Worker 0143565051 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
073682NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073682 NY Yes

Addresses

Primary practice location

220 N Ballston Ave
Scotia, NY 12302-2533

Mailing address

220 N Ballston Ave
Scotia, NY 12302-2533
Phone (518) 374-3514

Other providers in Scotia, NY

All providers in Scotia, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.