Ty A Little, LCSW | |
1132 John Lockwood Rd, Walton, NY 13856-2127 | |
(607) 643-8143 | |
Not Available |
Full Name | Ty A Little |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1132 John Lockwood Rd, Walton, 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 |
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1609818335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 072582-1 (New York) | Primary |
Entity Name | Maverick Family Counseling Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104160738 PECOS PAC ID: 1557597184 Enrollment ID: O20131203002090 |
Mailing Address | Practice Location Address |
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Ty A Little, LCSW 1132 John Lockwood Rd, Walton, NY 13856-2127 Ph: (607) 643-8143 | Ty A Little, LCSW 1132 John Lockwood Rd, Walton, NY 13856-2127 Ph: (607) 643-8143 |
Karen Holland Nicholson Forbes, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Rd, Walton, NY 13856 Phone: 607-865-6522 | |
Mr. Thomas Francis Dwyer, L-MSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Rd, Walton, NY 13856 Phone: 607-865-6522 Fax: 607-865-7424 | |
Ms. Nicole Gerace, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 56 Shepard Street, Suite 1, Walton, NY 13856 Phone: 607-865-7931 Fax: 607-865-5790 | |
Mr. Douglas D Elston, L.C.S.W.-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Rd, Walton, NY 13856 Phone: 607-865-8255 Fax: 607-865-7424 | |
Sarah Bliss Hooper, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Hospital Rd, Walton, NY 13856 Phone: 607-865-6522 | |
Edward Arthur Wilson, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Delaware County Mental Health Clinic, One Hospital Road, Walton, NY 13856 Phone: 607-865-6522 Fax: 607-865-7424 | |
Mrs. Erika Lynn Miller, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Rd, Walton, NY 13856 Phone: 607-832-5888 |