Mr Joshua D Burgess, LCSWR | |
63 Norton Ave, Clinton, NY 13323 | |
(315) 795-4321 | |
Not Available |
Full Name | Mr Joshua D Burgess |
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Gender | Male |
Speciality | Social Worker |
Location | 63 Norton Ave, Clinton, 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 |
---|---|---|---|
1023418605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 090664 (New York) | Secondary |
104100000X | Social Worker | 085405 (New York) | Primary |
Entity Name | Upstate Cerebral Palsy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780636506 PECOS PAC ID: 5496734758 Enrollment ID: O20040719001380 |
Mailing Address | Practice Location Address |
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Mr Joshua D Burgess, LCSWR 63 Norton Ave, Clinton, NY 13323 Ph: (315) 795-4321 | Mr Joshua D Burgess, LCSWR 63 Norton Ave, Clinton, NY 13323 Ph: (315) 795-4321 |
Ms. Crystal Dawn Collette, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 Fax: 315-853-3190 | |
Jean M Baker, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3 Fountain St, Suite 201, Clinton, NY 13323 Phone: 315-292-4834 | |
Mrs. Jaqueline G Michel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Kirkland Ave, Suite 203, Clinton, NY 13323 Phone: 315-859-1470 Fax: 315-853-3242 | |
Ms. Mary Reilly Mathews, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Fair Meadow Ln, Clinton, NY 13323 Phone: 315-853-5310 | |
Desiree Peters, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 College St, Clinton, NY 13323 Phone: 315-853-5532 Fax: 315-853-1003 | |
Mr. Bryan James Palmer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3957 Cleary Rd, Clinton, NY 13323 Phone: 315-580-0449 |