| Miss Audrey Irene Tyszka, LCSW-R | |
|
44 Oswego St, Baldwinsville, NY 13027-2471 | |
| (315) 396-4241 | |
| Not Available |
| Full Name | Miss Audrey Irene Tyszka |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 44 Oswego St, Baldwinsville, 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 |
|---|---|---|---|
| 1184976805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | St Josephs Hospital Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508815333 PECOS PAC ID: 9234043324 Enrollment ID: O20031113000400 |
| Entity Name | Audrey Tyszka Lcsw Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285220319 PECOS PAC ID: 8123429321 Enrollment ID: O20210625000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Audrey Irene Tyszka, LCSW-R 44 Oswego St, Baldwinsville, NY 13027-2471 Ph: () - | Miss Audrey Irene Tyszka, LCSW-R 44 Oswego St, Baldwinsville, NY 13027-2471 Ph: (315) 396-4241 |
Linda A Mason, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6104 Deep Glade Dr Apt 102, Baldwinsville, NY 13027 Phone: 917-902-9212 | |
Mrs. Jennifer Lyn Bordonaro-benson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3070 Belgium Rd, Baldwinsville, NY 13027 Phone: 315-253-8401 | |
Ms. Deborah Sobell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 W Genesee St, Baldwinsville, NY 13027 Phone: 315-638-0988 Fax: 315-251-2603 | |
Horace Spencer Ivey, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8718 Radburn Dr, Baldwinsville, NY 13027 Phone: 315-635-9077 Fax: 315-635-9077 | |
Moira Eilers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1109 Church Rd, Baldwinsville, NY 13027 Phone: 845-304-2713 | |
Meredith Truley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 E Oneida St, Baldwinsville, NY 13027 Phone: 315-638-6118 |