Tractorhealthsolutions LLC
Organization Active NPI Clinical Social Worker · Port Ewen, NY
NPI 1861946154 · NPPES record last updated Aug 11, 2016
Key facts
- NPI
- 1861946154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 080579 (NY)
- Legal business name
- TRACTORHEALTHSOLUTIONS LLC
- Practice address
- 243 Bayard Street
# 724
Port Ewen, NY 12466 - Phone
- (646) 249-5767
- NPI assigned
- Aug 4, 2016
- Organization subpart
- No
Authorized official
- Name
- William Latimer, LCSW R
- Title
- Ceo
- Phone
- 64672495767
Practitioners 1
-
Cynthia Forness, LPN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 23700 | NY | |
| Clinical Social Worker |
1041C0700X | 080579 | NY | Yes |
| Case Manager/Care Coordinator |
171M00000X | 080579 | NY |
Addresses
Primary practice location
243 Bayard Street
# 724
Port Ewen, NY 12466
Mailing address
243 Bayard Street
# 724
Port Ewen, NY 12466
Phone (646) 249-5767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03589764 | Medicaid | NY |
Other providers in Port Ewen, NY
- Amy Kate Silvestro
- Elizabeth Anne Stanzione
- Renee Striano
- The Institute for Family Health
- Cathryn Timbrouck
- Jacinta Vondell
- Melissa Ann Werner
- Danielle Lena Williamson
All providers in Port Ewen, 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 Aug 11, 2016. 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.