1649262486 NPI number — NATALIE FRENEY GUERNSEY LMSW

Table of content: NATALIE FRENEY GUERNSEY LMSW (NPI 1649262486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649262486 NPI number — NATALIE FRENEY GUERNSEY LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUERNSEY
Provider First Name:
NATALIE
Provider Middle Name:
FRENEY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRENEY
Provider Other First Name:
NATALIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649262486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

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

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6529 SPRING BROOK AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RHINEBECK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12572-3709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-876-2006
Provider Business Practice Location Address Fax Number:
845-876-2873
Provider Enumeration Date:
08/18/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  057169-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 057169-1 . This is a "NYS LICENSE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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