| Ms Charmaine Ann Fanara, LCSW | |
|
59 Alys Dr E, Depew, NY 14043-1402 | |
| (716) 783-0407 | |
| (716) 393-3430 |
| Full Name | Ms Charmaine Ann Fanara |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 59 Alys Dr E, Depew, 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 |
|---|---|---|---|
| 1740378751 | NPI | - | NPPES |
| 00071265-1 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 071265-1 (New York) | Primary |
| Entity Name | Trinity Medical Wny Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295043149 PECOS PAC ID: 5193907517 Enrollment ID: O20110307000596 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Charmaine Ann Fanara, LCSW 59 Alys Dr E, Depew, NY 14043-1402 Ph: (716) 391-7356 | Ms Charmaine Ann Fanara, LCSW 59 Alys Dr E, Depew, NY 14043-1402 Ph: (716) 783-0407 |
Katelyn Janelle Cornell, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2478 George Urban Blvd, Depew, NY 14043 Phone: 716-680-2373 Fax: 716-901-7407 | |
Dr. Dionne Marie Kress, DM, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4721 Transit Rd, Suite 23, Depew, NY 14043 Phone: 716-706-5923 | |
Julie Anne Fenn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2478 George Urban Blvd, Depew, NY 14043 Phone: 716-536-4569 Fax: 716-901-7407 | |
Kelly Marie Mccall, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2478 George Urban Blvd, Depew, NY 14043 Phone: 716-440-7165 | |
Meaghan Barone Toft, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2478 George Urban Blvd, Depew, NY 14043 Phone: 716-440-7165 | |
Grace I. Clark-burch, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4711 Transit Rd, Suite 3 Forestream Village, Depew, NY 14043 Phone: 716-706-5921 Fax: 716-706-5923 |