Provider Demographics
NPI:1386731503
Name:FAMILY SERVICES ASSOCIATES, INC.
Entity type:Organization
Organization Name:FAMILY SERVICES ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:MCSWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-451-2161
Mailing Address - Street 1:135 OLD COVE RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-3767
Mailing Address - Country:US
Mailing Address - Phone:315-451-2161
Mailing Address - Fax:315-451-3886
Practice Address - Street 1:135 OLD COVE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-3767
Practice Address - Country:US
Practice Address - Phone:315-451-2161
Practice Address - Fax:315-451-3886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY53324Medicare ID - Type UnspecifiedMEDICARE