Individual
AMY ELLIS MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
239 GOLDEN HILL LN, ULSTER COUNTY MENTAL HEALTH DEPARTMENT, KINGSTON, NY 12401-6441
(845) 340-4179
(845) 340-4094
Mailing address
239 GOLDEN HILL LN, ULSTER COUNTY MENTAL HEALTH DEPARTMENT, KINGSTON, NY 12401-6441
(845) 340-4179
(845) 340-4094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R039755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02467054
—
NY
Enumeration date
11/06/2006
Last updated
08/19/2013
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