Inner Lakes Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNER LAKES THERAPY PLLC

Practice address

733 Clark Hollow Rd
Pine City, NY 14871-9789

Phone

(607) 398-0212

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By 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

Emily Oliver, LCSWNPI 1295208676

Title

Owner & Ceo

Phone

(607) 281-8916

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Emily Oliver, LMSW

  • Social Worker
  • Bath, NY
  • NPI 1295208676
  NPD Authorized official

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1770244261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CLARK HOLLOW RD",
            "city": "PINE CITY",
            "state": "NY",
            "postal_code": "148719789",
            "telephone_number": "607-398-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CLARK HOLLOW RD",
            "city": "PINE CITY",
            "state": "NY",
            "postal_code": "148719789",
            "telephone_number": "607-398-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER LAKES THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "607-281-8916",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erinne Gibson
• Thomas R. Gustafson, MD
• Guthrie Clinic LTD (Guthrie Medical Group)
• Guthrie Medical Group, P.C.
• Andrea E Herman, RPA-C
• Jennifer Share Midwifery and Tess Interlicchia Nurse Practitioner in F (Root to Rise Wellness Center)
• Gangadhara R Kabbli, MD
• Vincent S Ladelia, MD
• William Ridge McClintic, D.O.
• Sean Kevin Noterfonzo

• Clinical Social Worker in Pine City, NY
• Providers in Pine City, 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 Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.