Mrs Elizabeth Anne Bork, CRC, LMHS is a
Social Worker - Clinical based in Buffalo, New York. Mrs Elizabeth Anne Bork is licensed to practice in New York (license number 002847-1) and her current practice location is
699 Hertel Ave, Buffalo, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 834-0282.
NPI number for Mrs Elizabeth Anne Bork is 1982701561 and her current mailing address is 3020 Bailey Ave, Buffalo, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982701561.
Healthcare Provider's Profile
| Full Name | Mrs Elizabeth Anne Bork |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 699 Hertel Ave, Buffalo, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982701561
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Elizabeth Anne Bork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982701561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (Iowa) | Primary |
| 1041C0700X | Social Worker - Clinical | 002847-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Elizabeth Anne Bork is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Elizabeth Anne Bork, CRC, LMHS
3020 Bailey Ave,
Buffalo, NY 14215-2814
Ph: (716) 834-0282 | Mrs Elizabeth Anne Bork, CRC, LMHS
699 Hertel Ave,
Buffalo, NY 14207-2341
Ph: (716) 834-0282 |
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