Peggy L Bright-berhannan, LCSW-R | |
106 S Perry St, Ste 4, Watkins Glen, NY 14891-1615 | |
(607) 535-8282 | |
(607) 535-8284 |
Full Name | Peggy L Bright-berhannan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 106 S Perry St, Watkins Glen, 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 |
---|---|---|---|
1033120449 | NPI | - | NPPES |
07300049442LI | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R049442 (New York) | Primary |
Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
Mailing Address | Practice Location Address |
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Peggy L Bright-berhannan, LCSW-R 625 Cayuta Ave, Waverly, NY 14892-1511 Ph: () - | Peggy L Bright-berhannan, LCSW-R 106 S Perry St, Ste 4, Watkins Glen, NY 14891-1615 Ph: (607) 535-8282 |
Ashleigh Wedding, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 S Perry St, Watkins Glen, NY 14891 Phone: 607-535-8282 Fax: 607-535-8284 | |
Kerseinya Gretchen Wentworth, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 S Perry St, Ste 4, Watkins Glen, NY 14891 Phone: 607-535-8282 Fax: 607-535-8284 | |
Ms. Jean Liebenberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 6th St, Watkins Glen, NY 14891 Phone: 607-535-7217 | |
Melissa L Depaolo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 106 S Perry St, Ste. 4, Watkins Glen, NY 14891 Phone: 607-535-8282 Fax: 607-535-8284 | |
Dawn Thornton, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 S Perry St, Watkins Glen, NY 14891 Phone: 607-535-8282 Fax: 607-535-8284 | |
Kristen Robbin Sorce, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 S Perry St, Ste 4, Watkins Glen, NY 14891 Phone: 607-535-8282 Fax: 607-535-8284 |