| David Richard Green, LCSW | |
|
76 Veterans Ave, Bath, NY 14810-0810 | |
| (607) 664-4364 | |
| Not Available |
| Full Name | David Richard Green |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 31 Years |
| Location | 76 Veterans Ave, Bath, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831139195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0662971 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Tier Counseling Center Llc | 1658322805 | 7 |
| Entity Name | Southern Tier Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598716292 PECOS PAC ID: 1658322805 Enrollment ID: O20050204000091 |
| Mailing Address | Practice Location Address |
|---|---|
| David Richard Green, LCSW 76 Veterans Ave, Bath, NY 14810-0810 Ph: (607) 664-4364 | David Richard Green, LCSW 76 Veterans Ave, Bath, NY 14810-0810 Ph: (607) 664-4364 |
Wendy Kesel, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-776-6577 | |
Tyler Heflin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-664-2255 | |
Ms. Jane Marie Aniskevich, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Building 32, Bath Va Medical Center, Bath, NY 14810 Phone: 607-664-4512 | |
Mr. Bruce Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4513 | |
John C Gould, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Veterans Ave, Bath, NY 14810 Phone: 607-664-4000 | |
Mr. Gary L Short, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7634 Campbell Creek Rd, Family Life Ministries, Bath, NY 14810 Phone: 607-776-4151 Fax: 607-776-6929 | |
David Schenck, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Liberty St, Bath, NY 14810 Phone: 607-776-6577 |