Mystika Lee Armstrong
Individual provider Active NPI Clinical Social Worker · Herkimer, NY
NPI 1508328949 · NPPES record last updated Apr 4, 2019
Key facts
- NPI
- 1508328949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 093691-1 (NY)
- Practice address
- 417 E German St
Herkimer, NY 13350-1028 - Phone
- (315) 868-1000
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 093691-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herkimer Cornerstone, LLC | Past | Accepting new patients | |
| Cornerstone Herkimer | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 093691-1 | NY | Yes |
Addresses
Primary practice location
417 E German St
Herkimer, NY 13350-1028
Mailing address
5548 Bear Rd Apt 26E
North Syracuse, NY 13212-1426
Phone (315) 491-5340
Other providers in Herkimer, NY
- Maureen Amberger
- Amy Scalora
- Ann Marie Anglin
- Maria Antell
- April Lynch
- Katelyn Ashe
- Kathleen Mary Ashe
- Samantha Austin
- Donald Roy Bach
- Isabella Rose Bailey
All providers in Herkimer, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.