Ms Theresa Wiehagen Samways, LCSW | |
104 Swan St, Potsdam, NY 13676-1131 | |
(315) 212-4634 | |
Not Available |
Full Name | Ms Theresa Wiehagen Samways |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 104 Swan St, Potsdam, 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 |
---|---|---|---|
1619287547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2010003569 (Missouri) | Secondary |
1041C0700X | Social Worker - Clinical | 079457-1 (New York) | Primary |
Entity Name | Canton-potsdam Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
Mailing Address | Practice Location Address |
---|---|
Ms Theresa Wiehagen Samways, LCSW 104 Swan St, Potsdam, NY 13676-1131 Ph: (315) 212-4634 | Ms Theresa Wiehagen Samways, LCSW 104 Swan St, Potsdam, NY 13676-1131 Ph: (315) 212-4634 |
Mrs. Tamara B Crinklaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6956 State Highway 56, Potsdam, NY 13676 Phone: 315-268-0264 | |
Coreen Bohl, MSW, LCSW, ACHP-SW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-6025 | |
Rebecca Collins Tejera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Pierrepont Ave, Potsdam, NY 13676 Phone: 315-261-8765 | |
Emma Brackett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-261-6422 | |
Deirdre Dunham Gray, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 Fax: 315-353-2479 | |
Miss Brandi K. Kelley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Pierrepont Ave, Potsdam, NY 13676 Phone: 315-261-8522 |