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

Phoenix Rising Therapeutic Services LCSW PC

Organization Clinical Social Worker · NPI 1003295395

Phoenix Rising Therapeutic Services LCSW PC is a Clinical Social Worker in Alfred Station, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5295 E Valley Rd
Alfred Station, NY 14803-9715
Phone: (607) 587-8260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R045595-1 (NY)

Record details

NPI number1003295395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Beth McDonough — Sole Owner · (607) 587-8260
NPI enumeratedMay 20, 2015
Last updated in NPPESMay 20, 2015
Mailing address5295 E Valley Rd, Alfred Station, NY 14803-9715

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