National Provider Identifier
Kerseinya Gretchen Wentworth, LCSWR
Kerseinya Gretchen Wentworth, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Watkins Glen, NY and a listed phone number of (607) 535-8282.
Profile Overview
- NPI
- 1043441413
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 04, 2009
- Last Updated
- August 04, 2009
Practice Location
- 106 S Perry St
- Ste 4
- Watkins Glen, NY 14891-1615
Phone: (607) 535-8282
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1043441413
- Entity Type
- Individual
- Last Name
- Wentworth
- First Name
- Kerseinya
- Middle Name
- Gretchen
- Credential
- LCSWR
- Mailing Street Address
- 106 S Perry St
- Mailing Address Line 2
- Ste 4
- Mailing City
- Watkins Glen
- Mailing State
- NY
- Mailing ZIP Code
- 14891-1615
- Mailing Country
- US
- Mailing Phone
- (607) 535-8282
- Mailing Fax
- (607) 535-8284
- Practice Street Address
- 106 S Perry St
- Practice Address Line 2
- Ste 4
- Practice City
- Watkins Glen
- Practice State
- NY
- Practice ZIP Code
- 14891-1615
- Practice Country
- US
- Practice Phone
- (607) 535-8282
- Practice Fax
- (607) 535-8284
- Enumeration Date
- August 04, 2009
- Last Updated
- August 04, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00041878LI (NY)