National Provider Identifier
Mark R Hedgepeth, LCSW R
Mark R Hedgepeth, LCSW R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Geneva, NY and a listed phone number of (315) 789-8291.
Profile Overview
- NPI
- 1003983347
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 30, 2006
- Last Updated
- July 08, 2007
Practice Location
- 58 B Milton St
- Geneva, NY 14456
Phone: (315) 789-8291
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1003983347
- Entity Type
- Individual
- Last Name
- Hedgepeth
- First Name
- Mark
- Middle Name
- R
- Credential
- LCSW R
- Mailing Street Address
- 58 B Milton St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456
- Mailing Country
- US
- Mailing Phone
- (315) 789-8291
- Mailing Fax
- (315) 789-8291
- Practice Street Address
- 58 B Milton St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456
- Practice Country
- US
- Practice Phone
- (315) 789-8291
- Practice Fax
- (315) 789-8291
- Enumeration Date
- November 30, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)