Kelly Sandra Smith, LCSW-R | |
216 Hamilton St, Geneva, NY 14456-2911 | |
(315) 730-5306 | |
Not Available |
Full Name | Kelly Sandra Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 216 Hamilton St, Geneva, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861441297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R054827-1 (New York) | Primary |
Entity Name | Seneca County Treasurer |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689787517 PECOS PAC ID: 7416840301 Enrollment ID: O20040204000900 |
Entity Name | County Of Wayne |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003824855 PECOS PAC ID: 8921919994 Enrollment ID: O20040505000103 |
Mailing Address | Practice Location Address |
---|---|
Kelly Sandra Smith, LCSW-R 3779 State Route 14a, Geneva, NY 14456-9103 Ph: (315) 781-0413 | Kelly Sandra Smith, LCSW-R 216 Hamilton St, Geneva, NY 14456-2911 Ph: (315) 730-5306 |
Mark R Hedgepeth, LCSW R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 B Milton St, Geneva, NY 14456 Phone: 315-789-8291 Fax: 315-789-8291 | |
Ms. Katheryn Anne L'heureux, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 786 Pre Emption Rd, Geneva, NY 14456 Phone: 215-779-9138 | |
Lisa Boccia Salter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 W Washington St, Geneva, NY 14456 Phone: 315-781-8448 | |
Susan Mcgowan, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 W North St, Geneva, NY 14456 Phone: 315-781-0489 | |
Ms. Jeanne Cordelia Mcclung, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 671 Exchange Street, Geneva, NY 14456 Phone: 315-789-2613 Fax: 315-789-2524 | |
Toby A. Kayser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 196 North St, Care Management Dept, Geneva, NY 14456 Phone: 315-787-4180 | |
Miss Elizabeth Anne Mammarello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 671 Exchange St, Geneva, NY 14456 Phone: 315-777-6075 |