National Provider Identifier

Athena Ackley, LCSW

Athena Ackley, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Bath, NY and a listed phone number of (607) 664-4365.

NPI 1265074579Bath, NYClinical Social Worker

Profile Overview

NPI
1265074579
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 09, 2019
Last Updated
March 07, 2023

Practice Location

  • 76 Veterans Ave
  • Bath, NY 14810-0810

Phone: (607) 664-4365

Mailing Address

  • 76 Veterans Ave Bldg 30
  • Bath, NY 14810-0810

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1265074579
Entity Type
Individual
Last Name
Ackley
First Name
Athena
Credential
LCSW
Mailing Street Address
76 Veterans Ave Bldg 30
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-0810
Mailing Country
US
Mailing Phone
(607) 664-4365
Practice Street Address
76 Veterans Ave
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4365
Enumeration Date
October 09, 2019
Last Updated
March 07, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 07, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)