David Richard Green, LCSW | |
76 Veterans Ave, Bath, NY 14810-0810 | |
(607) 664-4364 | |
Not Available |
Full Name | David Richard Green |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 30 Years |
Location | 76 Veterans Ave, Bath, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831139195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0662971 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Tier Counseling Center Llc | 1658322805 | 4 |
Entity Name | Southern Tier Counseling Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598716292 PECOS PAC ID: 1658322805 Enrollment ID: O20050204000091 |
Mailing Address | Practice Location Address |
---|---|
David Richard Green, LCSW 76 Veterans Ave, Bath, NY 14810-0810 Ph: (607) 664-4364 | David Richard Green, LCSW 76 Veterans Ave, Bath, NY 14810-0810 Ph: (607) 664-4364 |
Wendy Kesel, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-776-6577 | |
Tyler Heflin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-664-2255 | |
Ms. Jane Marie Aniskevich, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Building 32, Bath Va Medical Center, Bath, NY 14810 Phone: 607-664-4512 | |
Mr. Bruce Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4513 | |
John C Gould, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 | |
Mr. Gary L Short, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7634 Campbell Creek Rd, Family Life Ministries, Bath, NY 14810 Phone: 607-776-4151 Fax: 607-776-6929 | |
David Schenck, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-776-6577 |