Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hudson Headwaters Health Network

Organization Clinical Social Worker · NPI 1124320247

Hudson Headwaters Health Network is a Clinical Social Worker in Fort Edward, New York. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
10

Practice location Address checks out

48 E St
Fort Edward, NY 12828-1811
Phone: (518) 824-8630
Fax: (518) 824-2302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Podiatrist Taxonomy 213E00000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X

Record details

NPI number1124320247
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedNovember 22, 2010
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

Other providers in Fort Edward