| Organization Name: | ADIRONDACK SOCIAL WORK SERVICES PC |
| NPI Number: | 1134133754 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KLAUS ERIC MEISSNER (THERAPIST COOWNER PARTNER) |
| Mailing Address: | 206 Coreys Rd Tupper Lake |
| State: | NY US |
| Postal Code: | 12986 |
| Phone Number: | 5183592623 |
| Fax Number: | 5183598255 |
| NPI Enumeration Date: | 07/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 3437 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |