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MONROE LICENSED CLINICAL SOCIAL WORK, P.C.

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Company Details

Name: MONROE LICENSED CLINICAL SOCIAL WORK, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Apr 2023 (2 years ago)
Entity Number: 6799549
ZIP code: 14618
County: Monroe
Place of Formation: New York
Address: 3019 monroe ave, suitee 200r, ROCHESTER, NY, United States, 14618

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 3019 monroe ave, suitee 200r, ROCHESTER, NY, United States, 14618

National Provider Identifier

NPI Number:
1043909054
Certification Date:
2023-05-22

Authorized Person:

Name:
MRS. VICTORIA HENDERSON
Role:
CLINIC DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-04-17 2025-05-01 Address 3019 monroe ave, suitee 200r, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)
2023-04-14 2025-05-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250501041687 2025-05-01 BIENNIAL STATEMENT 2025-05-01
230417008530 2023-04-14 CERTIFICATE OF INCORPORATION 2023-04-14

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State