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Contact Information

REBECCA A WEIDERMAN, MSW LMSW
FULTON COUNTY ADDICTION SERVICES
73 NORTH MAIN STREET 3RD FLOOR
GLOVERSVILLE, NY12078
 Phone: 518-773-3532
 Fax: 518-773-4003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for REBECCA A WEIDERMAN · (Female)

NPI Number 1326101239
Status Active
Credentials MSW LMSW
Entity Individual
Enumeration date 12/19/2006
Last updated 10/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 0520681
  • NY License # 077758-1
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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