| Gillian June Small-kota, LCSW | |
|
10 Catherine Dr, Corning, NY 14830-3756 | |
| (315) 420-6528 | |
| Not Available |
| Full Name | Gillian June Small-kota |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10 Catherine Dr, Corning, 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 |
|---|---|---|---|
| 1508638909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 128773 (Alaska) | Primary |
| Entity Name | Ge Family Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265174502 PECOS PAC ID: 0244697712 Enrollment ID: O20230530000602 |
| Mailing Address | Practice Location Address |
|---|---|
| Gillian June Small-kota, LCSW 10 Catherine Dr, Corning, NY 14830-3756 Ph: (315) 420-6528 | Gillian June Small-kota, LCSW 10 Catherine Dr, Corning, NY 14830-3756 Ph: (315) 420-6528 |
Martha Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10486 South Rd, Corning, NY 14830 Phone: 607-962-1856 | |
Bailey E O'rourke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 E 1st St, Corning, NY 14830 Phone: 607-936-1771 Fax: 607-937-2648 | |
Ms. Gillian R. Brown, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 E 1st Street, Corning, NY 14830 Phone: 607-936-1771 Fax: 607-937-2648 | |
Marian Rika Rezelman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Princeton Avenue Ext, Corning, NY 14830 Phone: 607-962-3148 | |
Christine A Antenore, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 114 Chestnut St, Corning, NY 14830 Phone: 607-937-6201 | |
Marie Owens, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 E 1st St, Corning, NY 14830 Phone: 607-936-1771 Fax: 607-936-2648 | |
Mr. Michael Shawn Rosno, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 E 1st St, Corning, NY 14830 Phone: 607-936-1771 |