Pola Beagle, LCSW-R
Individual provider Active NPI Social Worker · Sherburne, NY
NPI 1841471869 · NPPES record last updated Nov 19, 2007
Key facts
- NPI
- 1841471869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 074530 (NY)
- Practice address
- 15 School St
Sherburne, NY 13460-9505 - Phone
- (607) 674-8416
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 074530 | NY | Yes |
Addresses
Primary practice location
15 School St
Sherburne, NY 13460-9505
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 674-8416
Other providers in Sherburne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 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.