Ms Renee E Sampson Woodard, MSW, LCSW | |
14 Mills Rd, Walden, NY 12586-2807 | |
(845) 313-0317 | |
(914) 948-9564 |
Full Name | Ms Renee E Sampson Woodard |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 14 Mills Rd, Walden, 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 |
---|---|---|---|
1912176132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0703666 (New York) | Primary |
Entity Name | County Of Orange |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740227214 PECOS PAC ID: 0648169185 Enrollment ID: O20040312000995 |
Mailing Address | Practice Location Address |
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Ms Renee E Sampson Woodard, MSW, LCSW 14 Mills Rd, Walden, NY 12586-2807 Ph: (845) 313-0317 | Ms Renee E Sampson Woodard, MSW, LCSW 14 Mills Rd, Walden, NY 12586-2807 Ph: (845) 313-0317 |
Mrs. Jennifer Jackson Grismer, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Berwick Ave, Walden, NY 12586 Phone: 845-778-8502 | |
Paula Jean Southwell, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Rifton Pl, Walden, NY 12586 Phone: 845-346-6399 | |
Mr. Joel K Simon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7 Ivy Ln, Walden, NY 12586 Phone: 845-778-7107 |