Provider Demographics
NPI:1023165107
Name:INSOGNA, MOLLY (BSW CASAC)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:
Last Name:INSOGNA
Suffix:
Gender:F
Credentials:BSW CASAC
Other - Prefix:MISS
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:HARTNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CASAC
Mailing Address - Street 1:433 GEYSER RD
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3022
Mailing Address - Country:US
Mailing Address - Phone:518-885-6884
Mailing Address - Fax:518-885-0077
Practice Address - Street 1:433 GEYSER RD
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-3022
Practice Address - Country:US
Practice Address - Phone:518-885-6884
Practice Address - Fax:518-885-0077
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY19398101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)