Trisha Atwood

Individual provider Active NPI Social Worker · Warsaw, NY

NPI 1992226989 · NPPES record last updated Jun 29, 2017

Key facts

NPI
1992226989
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
39 Duncan St
Warsaw, NY 14569-1017
Phone
(585) 786-0190
NPI assigned
Jun 29, 2017
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
104100000X Yes

Addresses

Primary practice location

39 Duncan St
Warsaw, NY 14569-1017

Mailing address

39 Duncan St
Warsaw, NY 14569-1017

Other identifiers

IdentifierTypeStateIssuer
02249154MedicaidNY

Other providers in Warsaw, NY

All providers in Warsaw, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.