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Contact Information

JAMES E PENK, LCSW-R
1311 UNION ST.
SCHENECTADY, NY12308
 Phone: 518-374-6263
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JAMES E PENK · (Male)

NPI # 1205977972
Status Active
Credentials LCSW-R
Entity Individual
Enumeration date 02/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # R-035359-1
  • NY Medicaid 01458644
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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