Miranda Lynn Davenport, | |
244 W Water St Ste 200, Elmira, NY 14901-2926 | |
(607) 737-5215 | |
Not Available |
Full Name | Miranda Lynn Davenport |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 244 W Water St Ste 200, Elmira, 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 |
---|---|---|---|
1548678972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 086523 (New York) | Primary |
Entity Name | Family Services Of Chemung County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619922432 PECOS PAC ID: 2365332236 Enrollment ID: O20040316001161 |
Entity Name | Casa-trinity Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023054376 PECOS PAC ID: 8527448000 Enrollment ID: O20220629003202 |
Mailing Address | Practice Location Address |
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Miranda Lynn Davenport, 1019 E Water St, Elmira, NY 14901-3332 Ph: () - | Miranda Lynn Davenport, 244 W Water St Ste 200, Elmira, NY 14901-2926 Ph: (607) 737-5215 |
Mary R Bado, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 Fax: 607-737-1379 | |
Holly J Mccormick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Christine Fallon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Marie Coleman, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311 W Water St, Elmira, NY 14901 Phone: 607-733-0660 | |
Angela Colegrove, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1316 College Ave, Elmira, NY 14901 Phone: 570-418-0644 | |
Miss Regina Keddell, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 W Water St, Elmira, NY 14905 Phone: 607-734-0980 Fax: 607-734-0981 | |
Rachel Jividen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 |