Ms Kathleen A De Jong, CSW-R is a
Counselor - Mental Health based in Burlington Flats, New York. Ms Kathleen A De Jong is licensed to practice in New York (license number 053935) and her current practice location is
193 Renwick Rd, Burlington Flats, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 965-8075.
NPI number for Ms Kathleen A De Jong is 1336119031 and her current mailing address is 193 Renwick Rd, Burlington Flats, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336119031.
Healthcare Provider's Profile
Full Name | Ms Kathleen A De Jong |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 193 Renwick Rd, Burlington Flats, 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: 1336119031
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Kathleen A De Jong such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336119031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 053935 (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. Ms Kathleen A De Jong 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 |
Ms Kathleen A De Jong, CSW-R 193 Renwick Rd, Burlington Flats, NY 13315-3133 Ph: (607) 965-8075 | Ms Kathleen A De Jong, CSW-R 193 Renwick Rd, Burlington Flats, NY 13315-3133 Ph: (607) 965-8075 |
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