| Jan Tewes,lcsw,pllc | |
|
132.5 Atwell Mills Annex Cazenovia NY 13035 | |
| (315) 430-2173 | |
| Not Available |
| Full Name | Jan Tewes,lcsw,pllc |
|---|---|
| Speciality | Social Worker |
| Location | 132.5 Atwell Mills Annex, Cazenovia, New York |
| Authorized Official Name and Position | Jan B Tewes (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3154302173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Tewes,lcsw,pllc 132.5 Atwell Mills Annex Cazenovia NY 13035 Ph: (315) 430-2173 | Jan Tewes,lcsw,pllc 132.5 Atwell Mills Annex Cazenovia NY 13035 Ph: (315) 430-2173 |
| NPI Number | 1619208162 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Medicare PECOS PAC ID | 0749325660 |
|---|---|
| Medicare Enrollment ID | O20100303000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619208162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jan B Tewes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790846939 PECOS PAC ID: 7214072131 Enrollment ID: I20100303000695 |
Rooted Tending Mental Health Counseling P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3272 W Lake Rd, Cazenovia, NY 13035 Phone: 315-690-4388 |