Ms Carrie Venus Fuller, LCSW | |
21 Grand St, Newburgh, NY 12550-5628 | |
(845) 562-7244 | |
Not Available |
Full Name | Ms Carrie Venus Fuller |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 21 Grand St, Newburgh, 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 |
---|---|---|---|
1376636563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R050688-1 (New York) | Primary |
Entity Name | Carmel Psychological Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194335 PECOS PAC ID: 4385530351 Enrollment ID: O20040225001248 |
Entity Name | Michele Winchester-vega Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831429414 PECOS PAC ID: 2365741188 Enrollment ID: O20160429000614 |
Mailing Address | Practice Location Address |
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Ms Carrie Venus Fuller, LCSW 21 Grand St, Newburgh, NY 12550-5628 Ph: (845) 562-7244 | Ms Carrie Venus Fuller, LCSW 21 Grand St, Newburgh, NY 12550-5628 Ph: (845) 562-7244 |
Julie A Riley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 372 Fullerton Ave, Newburgh, NY 12550 Phone: 845-527-0110 | |
Jacqueline Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 633 Gidney Ave, Suite 6, Newburgh, NY 12550 Phone: 845-569-2900 Fax: 866-619-5710 | |
Mr. Henry Paul Young, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34 N Plank Rd, Ste 1, Newburgh, NY 12550 Phone: 845-888-4390 | |
Richard Michael Sullivan, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 410 Gidney Ave Stop 3, Newburgh, NY 12550 Phone: 845-542-4416 Fax: 845-565-5374 | |
David Michael Campanaro, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 141 Broadway, Newburgh, NY 12550 Phone: 845-568-5260 | |
Dorothy L Distel, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Broadway, Newburgh, NY 12550 Phone: 845-568-5260 Fax: 845-568-5213 | |
Mrs. Paula A. Coloni, L.C.S.W.-R, A.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 Phone: 845-563-2545 |