Mary Deangelo (NPI# 1407809536, PAC ID# 0547248189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1407809536 |
| PAC ID by PECOS | 0547248189 |
| Professional Enrollment ID | I20040710000224 |
| Full Name | Mary Deangelo |
| Organization Legal Name | BRAD BENNETT PSYCHOLOGY PC |
| Address |
7325 State Route 5 Clinton NY 13323-3435 |
| Phone Number | 3158591973 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 2000 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2668450305 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7325 State Route 5, Clinton, NY 13323-3435 | 3158591973 | BRAD BENNETT PSYCHOLOGY PC |
| Organization Legal Name | BRAD BENNETT PSYCHOLOGY PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn S Muller | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Nancy L Broad Rayne | Nurse Practitioner | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Jean J Morris | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Carol A Buchholz Blackburn | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Christine A Porter | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Janet G Benjamin | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Kristina Berg | Clinical Psychologist | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Brad Bennett | Clinical Psychologist | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Julia E Grant | Clinical Psychologist | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Street Address |
7325 STATE ROUTE 5 |
| City | CLINTON |
| State | NY |
| Zip | 13323-3435 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn S Muller | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Nancy L Broad Rayne | Nurse Practitioner | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Jean J Morris | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Carol A Buchholz Blackburn | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Christine A Porter | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Janet G Benjamin | Clinical Social Worker | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Susan H Dewey | Clinical Social Worker | 7325 State Route 5, Clinton, NY 13323-3435 | |
| Kristina Berg | Clinical Psychologist | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Brad Bennett | Clinical Psychologist | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Julia E Grant | Clinical Psychologist | Brad Bennett Psychology PC | 7325 State Route 5, Clinton, NY 13323-3435 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Brodt | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| David Schilling | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Helen M Sarandrea | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Barbara Villanti | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Clare E Goldrick | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Ahmed Radwan | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Susan M Kantor | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Heather C Mott | Physical Therapy | Helen M Sarandrea Physical Therapy Pllc | 8200 Seneca Tpke, Clinton, NY 13323-1027 |
| Quazi T Islam | Family Medicine | Mary Imogene Bassett Hospital | 34 Chenango Ave, Clinton, NY 13323-1341 |
| Thomas R Carone | Chiropractic | 8 Taylor Ave, Clinton, NY 13323-1406 | |
| Find all physicians in zip 13323 | |||
| City | CLINTON |
| Zip Code | 13323 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CLINTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mary Deangelo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.