Mrs Julie A Villa, | |
138 North Court St, Wampsville, NY 13163 | |
(315) 378-7341 | |
Not Available |
Full Name | Mrs Julie A Villa |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 138 North Court St, Wampsville, 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 |
---|---|---|---|
1841305927 | NPI | - | NPPES |
00569860 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R071227-1 (New York) | Primary |
Entity Name | Psychological Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828 |
Mailing Address | Practice Location Address |
---|---|
Mrs Julie A Villa, 138 North Court St, Wampsville, NY 13163 Ph: (315) 378-7341 | Mrs Julie A Villa, 138 North Court St, Wampsville, NY 13163 Ph: (315) 378-7341 |
Susan E Allington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 North Court St., Wampsville, NY 13163 Phone: 315-366-2327 | |
Megan Mcpeak, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 N. Court St., Wampsville, NY 13163 Phone: 315-366-2327 | |
Shawna M Morasco, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 138 North Court St, Wampsville, NY 13163 Phone: 315-366-2327 | |
Carlyne Martin, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 N Court St, Wampsville, NY 13163 Phone: 315-264-8006 | |
Ms. Kimberly Centore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 North Court Street, Wampsville, NY 13163 Phone: 315-366-2327 | |
Teisha Marie Cook, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 138 North Court Street, Wampsville, NY 13163 Phone: 315-366-2327 | |
Anna Pavia, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 138 N. Court Street, Wampsville, NY 13163 Phone: 315-366-2327 |