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SAMARITAN LICENSED CLINICAL SOCIAL WORK, P.C.

SAMARITAN LICENSED CLINICAL SOCIAL WORK, P.C.

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Company Details

Name:	SAMARITAN LICENSED CLINICAL SOCIAL WORK, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	30 Mar 2009 (16 years ago)
Entity Number:	3792555
ZIP code:	12302
County:	Schenectady
Place of Formation:	New York
Address:	220 NORTH BALLSTON AVE., SCOTIA, NY, United States, 12302
Principal Address:	220 N BALLSTON AVE, SCOTIA, NY, United States, 12302

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
DAVID OLSEN	Chief Executive Officer	220 N BALLSTON AVE, SCOTIA, NY, United States, 12302

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	220 NORTH BALLSTON AVE., SCOTIA, NY, United States, 12302

National Provider Identifier

NPI Number:

1790015212

Link:

View on NPI website

Authorized Person:

Name:

DEBORAH LEE VALIQUETTE

Role:

OFFICE MANAGER

Phone:

5183743514

Taxonomy:

Selected Taxonomy:

251S00000X - Community/Behavioral Health Agency

Is Primary:

Yes

Contacts:

Phone:

+1 518-374-3514

Fax:

5183749193

Filings

Filing Number	Date Filed	Type	Effective Date
130319002234	2013-03-19	BIENNIAL STATEMENT	2013-03-01
110506003327	2011-05-06	BIENNIAL STATEMENT	2011-03-01
090330000681	2009-03-30	CERTIFICATE OF INCORPORATION	2009-03-30

Tax Exempt

Employer Identification Number (EIN) :

26-4637457

Classification:

Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)

Ruling Date:

2010-11

National Taxonomy Of Exempt Entities:

Health Care: Health Treatment Facilities, Primarily Outpatient

Deductibility:

Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:

Download file

Link:

Download file

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$196,622.85

Date Approved:

2020-04-14

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$196,622.85

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$197,687.89

Servicing Lender:

First National Bank of Scotia

Use of Proceeds:

Payroll: $196,622.85

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

SAMARITAN LICENSED CLINICAL SOCIAL WORK, P.C.

Is this your business?

Company Details

Chief Executive Officer

DOS Process Agent

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Filings

Tax Exempt

Determination Letters

Paycheck Protection Program

Reviews Leave a review

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