MEDICARE: NATALIE FRENEY GUERNSEY LMSW

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	057169-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	057169-1	OTHER	NY	NYS LICENSE

General Provider Information

NPI Number	:	1649262486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE FRENEY GUERNSEY LMSW

Provider Business Mailing Address
First Line	:	29 N HAMILTON ST
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-2541
Country	:	US
Telephone Number	:	845-452-1110
Fax Number	:	845-452-1119

Provider Business Practice Location Address
First Line	:	6529 SPRING BROOK AVE
Second Line	:
City	:	RHINEBECK
State	:	NY
Zip	:	12572-3709
Country	:	US
Telephone Number	:	845-876-2006
Fax Number	:	845-876-2873

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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