| Gwen Cedfeldt, | |
|
140 Pine Street, Hamburg, NY 14075 | |
| (716) 646-4991 | |
| Not Available |
| Full Name | Gwen Cedfeldt |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 140 Pine Street, Hamburg, 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 |
|---|---|---|---|
| 1053947796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6309 (North Dakota) | Primary |
| 104100000X | Social Worker | 108908-01 (New York) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Entity Name | Peterson Medical Clinics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20170828003640 |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Cedfeldt, 140 Pine Street, Hamburg, NY 14075 Ph: () - | Gwen Cedfeldt, 140 Pine Street, Hamburg, NY 14075 Ph: (716) 646-4991 |
Mary Kruszka, LCSWR Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Main St, Hamburg, NY 14075 Phone: 716-646-4991 Fax: 716-646-4990 | |
Lien Truong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 162 Main St, Hamburg, NY 14075 Phone: 917-627-3210 | |
Dawn Marie Walker, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 E Union St, Hamburg, NY 14075 Phone: 716-648-6515 Fax: 716-648-7101 | |
Jennifer Zimmerman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Main St, Hamburg, NY 14075 Phone: 716-646-4991 Fax: 716-646-4990 | |
Mrs. Rebecca Anne Darszewski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Main St, Hamburg, NY 14075 Phone: 716-984-7616 Fax: 716-714-5953 | |
Ms. Allison Duffy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Main St, Hamburg, NY 14075 Phone: 716-646-4991 Fax: 716-646-4990 |