MEDICARE: BARBARA JEAN PIEHLER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	101491	NY
2	1041C0700X	Clinical Social Worker	091204-01	NY

General Provider Information

NPI Number	:	1639696495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA JEAN PIEHLER LCSW

Provider Business Mailing Address
First Line	:	242 MAIN ST STE 224
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2732
Country	:	US
Telephone Number	:	845-583-1495
Fax Number	:	845-302-8715

Provider Business Practice Location Address
First Line	:	242 MAIN ST STE 224
Second Line	:
City	:	BEACON
State	:	NY
Zip	:	12508-2732
Country	:	US
Telephone Number	:	845-583-1495
Fax Number	:	845-302-8715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	07/22/2024

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