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 1902900111

Hudson Headwaters Health Network is a Clinical Social Worker in Mineville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
7

Practice location Address checks out

33 Tom Phelps Ln
Mineville, NY 12956-0480
Phone: (518) 942-7123
Fax: (518) 942-7041
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
Nutritionist Taxonomy 133N00000X (NY)
Family Medicine Physician Taxonomy 207Q00000X (NY)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Physician Assistant Taxonomy 363A00000X (NY)
Nurse Practitioner Taxonomy 363L00000X (NY)

Record details

NPI number1902900111
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHudson Headwaters Health Network
Authorized official Laura Pasco — Executive Vp, Cfo · (518) 761-0300
NPI enumeratedSeptember 8, 2006
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024
Mailing address9 Carey Rd, Queensbury, NY 12804-7880