Kathryn G Brodrick, LCSW | |
520 Ruah Street, Blossburg, PA 16912 | |
(570) 638-1260 | |
(570) 638-2065 |
Full Name | Kathryn G Brodrick |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 520 Ruah Street, Blossburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447326749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW014097 (Pennsylvania) | Primary |
Entity Name | North Penn Comprehensive Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912093576 PECOS PAC ID: 0446245880 Enrollment ID: O20040416000152 |
Mailing Address | Practice Location Address |
---|---|
Kathryn G Brodrick, LCSW 105 West Ave, Wellsboro, PA 16901-1358 Ph: (570) 723-0620 | Kathryn G Brodrick, LCSW 520 Ruah Street, Blossburg, PA 16912 Ph: (570) 638-1260 |
Sarah Meagan Poulin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Block St, Blossburg, PA 16912 Phone: 570-404-5276 | |
Anne Marie Anderegg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 Ruah Street, Blossburg, PA 16912 Phone: 570-638-1260 Fax: 570-638-2065 | |
Ms. Anthonette Nicole Deprimo, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 154 Main St, Blossburg, PA 16912 Phone: 570-638-2367 |