Organization Name: | JAN TEWES,LCSW,PLLC |
NPI Number: | 1619208162 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN B TEWES (CLINICAL SOCIAL WORKER) |
Mailing Address: | 132.5 Atwell Mills Annex Cazenovia |
State: | NY US |
Postal Code: | 13035 |
Phone Number: | 3154302173 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2010 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |