Individual
MS. ANN E. BADGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 TULIP ST, LIVERPOOL, NY 13088-4966
(315) 451-2318
Mailing address
121 IROQUOIS LN, LIVERPOOL, NY 13088-4447
(315) 451-5192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 11396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087029
GHI PIN
NY
05
—
02304350
—
NY
01
—
11514472
CAQH PROVIDER ID
NY
Enumeration date
03/29/2007
Last updated
07/09/2007
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