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NPI Code Detail

MEDICARE: KATHRYN PHILOMENA WELCH

MEDICARE: KATHRYN PHILOMENA WELCH
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
11041C0700XClinical Social WorkerLC14617ME
21041C0700XClinical Social WorkerLCSW82429CA
31041C0700XClinical Social Worker091566NY

General Provider Information

NPI Number : 1780860817
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN PHILOMENA WELCH
Provider Business Mailing Address
First Line : 171 AVERILL AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-1317
Country : US
Telephone Number : 716-969-3841
Fax Number :
Provider Business Practice Location Address
First Line : 72 HINCHEY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-2930
Country : US
Telephone Number : 585-450-0528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2008
Last Update Date : 12/13/2024

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Directions to “ KATHRYN PHILOMENA WELCH ” Practice Location

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