| Dawn Rung, LCSW-R | |
|
61 Delano St, Pulaski, NY 13142 | |
| (315) 298-6569 | |
| Not Available |
| Full Name | Dawn Rung |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 61 Delano St, Pulaski, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922420587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0681821 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 086756 (New York) | Primary |
| Entity Name | Northern Oswego County Health Services, Inc. Dba Connextcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Rung, LCSW-R 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6569 | Dawn Rung, LCSW-R 61 Delano St, Pulaski, NY 13142 Ph: (315) 298-6569 |
Lori Reynolds, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 | |
Wenling Riehle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569 Fax: 315-298-7488 | |
Amanda Altoran, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 | |
Kaitlyn Robbins, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4624 Salina St, Pulaski, NY 13142 Phone: 315-298-2696 Fax: 315-298-3460 | |
Mr. Jerry Micheal Brown Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 48 Wigwam Dr, Pulaski, NY 13142 Phone: 315-387-5040 | |
Ms. Angela L Christmas-mattison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Hubble Street, Pulaski, NY 13142 Phone: 315-298-6535 |