Mr Thomas Donald Grinnell Jr, LCSW | |
625 Delaware Ave, Suite 204, Buffalo, NY 14202-1009 | |
(716) 882-3151 | |
(716) 886-4002 |
Full Name | Mr Thomas Donald Grinnell Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 625 Delaware Ave, Buffalo, 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 |
---|---|---|---|
1578711685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 079421-1 (New York) | Primary |
Entity Name | Mid-erie Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225095201 PECOS PAC ID: 5496707945 Enrollment ID: O20050214000337 |
Mailing Address | Practice Location Address |
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Mr Thomas Donald Grinnell Jr, LCSW 255 Delaware Ave, Suite 300, Buffalo, NY 14202-2016 Ph: (716) 842-0440 | Mr Thomas Donald Grinnell Jr, LCSW 625 Delaware Ave, Suite 204, Buffalo, NY 14202-1009 Ph: (716) 882-3151 |
Ms. Carol Joanne Scorsone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Buffalo, NY 14213 Phone: 716-532-2231 Fax: 716-532-2200 | |
Andrea Marie Homer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Buffalo, NY 14213 Phone: 716-885-2261 | |
Ms. Jill Marie Beiger, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3495 Bailey Ave, Buffalo, NY 14215 Phone: 716-862-6516 | |
Mrs. Latanya Elaine Pitts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 608 William St, Buffalo, NY 14206 Phone: 716-855-1384 Fax: 716-855-1386 | |
Fabiola Friot, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 Niagara St, Buffalo, NY 14201 Phone: 716-853-1335 Fax: 716-853-1598 | |
Kayla Talty, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 699 Hertel Ave Ste 350, Buffalo, NY 14207 Phone: 716-831-1977 | |
Ms. Nancy Marie Benjamin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3495 Bailey Ave, Buffalo, NY 14215 Phone: 716-834-9200 |