New Spirit Licensed Clinical Social Work, Pllc

NPI #1275978660 in Oswego, New York

Provider Information

NPI Number: 1275978660
Entity Type: Organization
Organization Name: New Spirit Licensed Clinical Social Work, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 30, 2013
Last Updated: Jul 19, 2013

Practice Location

Address: 142 W 2ND ST
Address 2: UNIT # 1A
City: Oswego
State: New York
ZIP Code: 13126-2547
Phone: (315) 216-4776

Authorized Official

Name: MRS. ELAINE BISHARA CARACCIOLI, LCSW
Title: OPERATING MANAGER
Phone: (917) 536-0420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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