Provider Demographics
NPI:1447534524
Name:SCHENECTADY CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:SCHENECTADY CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:518-881-3720
Mailing Address - Street 1:1091 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-1738
Mailing Address - Country:US
Mailing Address - Phone:518-881-3720
Mailing Address - Fax:518-881-3722
Practice Address - Street 1:1091 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-1738
Practice Address - Country:US
Practice Address - Phone:518-881-3720
Practice Address - Fax:518-881-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01406986Medicaid