| Jessica L Bohndorf, LCSW | |
|
227 W Dominick St, Rome, NY 13440-5859 | |
| (315) 336-6230 | |
| Not Available |
| Full Name | Jessica L Bohndorf |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 227 W Dominick St, Rome, 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 |
|---|---|---|---|
| 1043881030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089085 (New York) | Primary |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica L Bohndorf, LCSW 1 Atwell Rd, Cooperstown, NY 13326 Ph: (607) 547-3480 | Jessica L Bohndorf, LCSW 227 W Dominick St, Rome, NY 13440-5859 Ph: (315) 336-6230 |
Daniele Herrmann, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 550, Rome, NY 13442 Phone: 518-402-4333 | |
Ms. Barbara A Welch-drozd, LMSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 W Dominick St, Rome, NY 13440 Phone: 315-336-6230 Fax: 315-337-9262 | |
Miss Jami Palladino, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 911 Culverton Rd, Rome, NY 13440 Phone: 315-982-8302 | |
Ms. Mindy Sue Wooledge, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 227 W Dominick St, Rome, NY 13440 Phone: 315-336-6230 Fax: 315-337-9262 | |
Mr. Richard Jeffrey Roman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 203 W Thomas St, Rome, NY 13440 Phone: 315-337-4435 Fax: 315-337-4435 | |
Christina Marie Campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Brookley Rd, Rome, NY 13441 Phone: 315-334-7100 |