Mr Gregg A Moore, LCSW-R | |
60 Oswego St Ste 1, Baldwinsville, NY 13027-2446 | |
(315) 415-9795 | |
(315) 415-9795 |
Full Name | Mr Gregg A Moore |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 60 Oswego St Ste 1, Baldwinsville, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396854030 | NPI | - | NPPES |
01649605 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R070522 (New York) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Mr Gregg A Moore, LCSW-R 60 Oswego St Ste 1, Baldwinsville, NY 13027-2446 Ph: (315) 415-9795 | Mr Gregg A Moore, LCSW-R 60 Oswego St Ste 1, Baldwinsville, NY 13027-2446 Ph: (315) 415-9795 |
Miss Audrey Irene Tyszka, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 44 Oswego St, Baldwinsville, NY 13027 Phone: 315-396-4241 | |
Mrs. Jennifer Lyn Bordonaro-benson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3070 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-253-8401 | |
Ms. Deborah Sobell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 W Genesee St, Baldwinsville, NY 13027 Phone: 315-638-0988 Fax: 315-251-2603 | |
Horace Spencer Ivey, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8718 Radburn Dr, Baldwinsville, NY 13027 Phone: 315-635-9077 Fax: 315-635-9077 | |
Moira Eilers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1109 Church Rd, Baldwinsville, NY 13027 Phone: 845-304-2713 | |
Meredith Riggs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 E Oneida St, Baldwinsville, NY 13027 Phone: 315-638-6118 |