Charles Joseph Bezousek, L.C.S.W
Individual provider Active NPI Clinical Social Worker · Carmel, NY
NPI 1710037403 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710037403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R023891 (NY)
- Practice address
- 36 Church Hill Rd
Carmel, NY 10512-3043 - Phone
- (845) 225-0052
- Fax
- (845) 225-0052
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R023891 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R023891 | NY | Yes |
Addresses
Primary practice location
36 Church Hill Rd
Carmel, NY 10512-3043
Mailing address
36 Church Hill Rd
Carmel, NY 10512-3043
Phone (845) 225-0052
Other providers in Carmel, NY
- Joshua Adam Bernheimer
- Michael L Bernstein
- Herbert Bessen
- Amanda J. Bevacqua
- Christine Bexley
- Roshnai Bhowal
- Andrea Bily
- Raymond Binkowski Jr.
- Michele Blades
- Blockchain Medical Solutions
All providers in Carmel, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.