Kelli Gary, MSW INTERN | |
80 State Highway 310, Canton, NY 13617-1436 | |
(315) 229-3480 | |
(315) 229-3489 |
Full Name | Kelli Gary |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 80 State Highway 310, Canton, 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 |
---|---|---|---|
1801377940 | NPI | - | NPPES |
3372621 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | United Helpers Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578559159 PECOS PAC ID: 2264408426 Enrollment ID: O20040908001427 |
Mailing Address | Practice Location Address |
---|---|
Kelli Gary, MSW INTERN Po Box 6550, Watertown, NY 13601-6550 Ph: (315) 782-7445 | Kelli Gary, MSW INTERN 80 State Highway 310, Canton, NY 13617-1436 Ph: (315) 229-3480 |
Ms. Jacqueline Schwartz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5862 Sh 11, Canton, NY 13617 Phone: 315-379-0805 | |
Ms. Mavis A Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Meghan Vollmer, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 St Hwy 310 Ste 1, Canton, NY 13617 Phone: 315-386-2167 | |
Morolake Odetoyinbo, Counselor Medicare: Medicare Enrolled Practice Location: 23 Church St, Canton, NY 13617 Phone: 240-507-2585 | |
Ms. Ruthann M Matthews, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Ms. Nereida Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2167 Fax: 315-386-2435 | |
Mr. Bryan J Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 |