# TIOGA COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TIOGA COUNTY
- **Other names:** Tioga County Alcohol and Drug Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205031499
- **Legal business name:** TIOGA COUNTY
- **Authorized official:** SUE ROMANCZUK-SMELCER PH.D, LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
- **Authorized official phone:** (607) 687-0200

## Contact information

- **Practice address:** 1062 STATE ROUTE 38, OWEGO, NY 13827
- **Practice address phone:** (607) 687-0200
- **Practice address fax:** (607) 687-0248
- **Mailing address:** 1062 STATE ROUTE 38, PO BOX 177, OWEGO, NY 13827
- **Mailing address phone:** (607) 687-0200
- **Mailing address fax:** (607) 687-0248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 071011080 | NY | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 01/30/2012