MISS ELIZABETH ANNE WIDRICK (NPI# 1316412091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316412091 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH ANNE WIDRICK |
| Credential | LMSW |
| Practice Address |
163 S 1st St Fulton NY 13069-1721 |
| Practice Telephone | 3155924453 |
| Practice Fax Number | 3155987158 |
| Mailing Telephone | 3155924453 |
| Mailing Fax Number | 3155987158 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 104624 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3850 State Route 13, Pulaski, NY 131422400 | 3155924453 | 3155987158 |
| Street Address |
163 S 1ST ST |
| City | FULTON |
| State | NY |
| Zip Code | 13069-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821157645 | Maria Grimshaw-clark | Social Worker | 163 S 1st St, Fulton, NY 13069-1721 | 2006-12-07 |
| 1730646829 | Morgan Kiellach | Social Worker | 163 S 1st St, Fulton, NY 13069-1721 | 2019-02-25 |
| 1194290080 | Melinda Fatiga | Counselor | 163 S 1st St, Fulton, NY 13069-1721 | 2018-10-08 |
| 1346583804 | Jo Anne Bakeman | Counselor | 163 S 1st St, Fulton, NY 13069-1721 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588291454 | Awilda Vega Johnston | Counselor | 92 N. 2nd St., #100, Fulton, NY 13069 | 2020-03-23 |
| 1174169346 | Gabrielle Sunshine Chrestler | Technician | 2118 Co Rt 176, Fulton, NY 13069 | 2019-11-22 |
| 1558917310 | Renee Omsby | Technician | 1323 County Rte 9, Fullton, NY 13069 | 2019-08-16 |
| 1194208488 | Bridgette Lynn Godfrey | Registered Nurse | 167 South 4th Street, Fulton, NY 13069 | 2018-09-12 |
| 1205299195 | Nu-ops, Inc | Taxi | 107 West 4th St So, Fulton, NY 13069 | 2016-03-30 |
| 1770909061 | Siobhan Anne Walsh | Licensed Practical Nurse | 436 Rowlee Road, Fulton, NY 13069 | 2014-03-11 |
| 1982971743 | Jennifer Lynn Scaringi | Licensed Practical Nurse | 505 Seneca St, Fulton, NY 13069 | 2011-11-22 |
| 1215242680 | Meghan Kathleen Hill | Physical Therapist | 706 South 4th St, Fulton, NY 13069 | 2010-08-10 |
| 1659699064 | Daniel Petrescu | Physical Therapist | 453 Park St., Michaud Residential Healthcare, Fulton, NY 13069 | 2010-05-10 |
| 1528212842 | Robyn Elizabeth Mccann | Licensed Practical Nurse | 464 Red School House Road, Fulton, NY 13069 | 2008-11-13 |
| Find all providers in zip 13069 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565979 | Eileen Welch | Social Worker | 1164 County Line Rd, Fulton, NY 13069-4369 | 2020-07-21 |
| 1619472008 | Cara Marie Harris | Social Worker | 388 State Route 48, Fulton, NY 13069-4347 | 2018-03-27 |
| 1053706770 | Jenelle Coit | Social Worker | 113 Schuyler St Ste 2, Fulton, NY 13069-1600 | 2015-03-31 |
| 1235577578 | Katherine Diane Payne Cook | Social Worker | 307 E 6th St, Fulton, MO 65251-2045 | 2013-06-09 |
| 1851672935 | Melissa Lynn Terzulli | Social Worker | 98 N 2nd St Ste 100, Fulton, NY 13069-1254 | 2011-09-02 |
| 1164560132 | Darlene N Salmons | Social Worker | 2625 Fairway Dr Ste A, Fulton, MO 65251-3936 | 2007-02-02 |
| 1497731939 | Mary Beth Debrodie | Social Worker | 2625 Fairway Dr, Suite E, Fulton, MO 65251-3936 | 2005-12-16 |
| 1326682295 | Chanel Bryant | Social Worker | 98 N 2nd St Ste 100, Fulton, NY 13069-1254 | 2019-11-04 |
| 1730646829 | Morgan Kiellach | Social Worker | 163 S 1st St, Fulton, NY 13069-1721 | 2019-02-25 |
| 1790271153 | Melanie Lynn Licatese | Social Worker | 98 N 2nd St Ste 100, Fulton, NY 13069-1254 | 2018-07-09 |
| Find all providers in FULTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.