Dennis R Gourley, LCSW | |
480 Pierce Street, Suite 112, Kingston, PA 18704-5512 | |
(570) 714-0890 | |
(570) 714-0890 |
Full Name | Dennis R Gourley |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 29 Years |
Location | 480 Pierce Street, Kingston, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447346234 | NPI | - | NPPES |
101659198 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW013873 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Development Services Inc | 5395631469 | 5 |
Entity Name | Professional Development Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104886548 PECOS PAC ID: 5395631469 Enrollment ID: O20040225000720 |
Mailing Address | Practice Location Address |
---|---|
Dennis R Gourley, LCSW 480 Pierce Street, Suite 112, Kingston, PA 18704-5512 Ph: (570) 714-0890 | Dennis R Gourley, LCSW 480 Pierce Street, Suite 112, Kingston, PA 18704-5512 Ph: (570) 714-0890 |
Karen A Hartt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 Wyoming Ave, Kingston, PA 18704 Phone: 570-283-0777 Fax: 570-283-0777 | |
Mrs. Ann D. Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 230 Wyoming Ave, Counseling And Learning Associates, Kingston, PA 18704 Phone: 570-288-5168 | |
Ms. Cynthia Zolner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 64 S Loveland Ave, Kingston, PA 18704 Phone: 570-885-4950 | |
Tina Arendash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 179 S Wyoming Ave, Kingston, PA 18704 Phone: 570-285-8025 Fax: 570-696-4361 | |
Lori Ann Alesson Rn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 517 Pierce St, Suite B, Kingston, PA 18704 Phone: 570-718-1988 | |
Carolyn Hovey Mcginnis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 300, Kingston, PA 18704 Phone: 570-239-0907 | |
Mrs. Denise Marie Namowicz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3767 Fax: 570-552-3765 |