| Brenda Black, LMSW | |
|
31 Thurber Dr, Waterloo, NY 13165-1665 | |
| (315) 539-1980 | |
| Not Available |
| Full Name | Brenda Black |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 31 Thurber Dr, Waterloo, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093185068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 098626 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seneca County Treasurer | 7416840301 | 18 |
| Entity Name | Seneca County Treasurer |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689787517 PECOS PAC ID: 7416840301 Enrollment ID: O20040204000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Black, LMSW 31 Thurber Dr, Waterloo, NY 13165-1665 Ph: () - | Brenda Black, LMSW 31 Thurber Dr, Waterloo, NY 13165-1665 Ph: (315) 539-1980 |
Ms. Mary P Grace, LCSW, CASAC, CPP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1985 Fax: 315-539-4393 | |
Katherine S Merriman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1980 | |
Heather Phillip, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Waterloo Geneva Rd, Waterloo, NY 13165 Phone: 315-539-5067 | |
Patrick Michael Clark, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1980 | |
Katherine Wheeler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 E River St, Waterloo, NY 13165 Phone: 315-758-0587 | |
Miss Katelyn Elizabeth Blowers, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1980 |