National Provider Identifier

Taliet Gerretsen, LMSW

Taliet Gerretsen, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Corning, NY and a listed phone number of (607) 936-1771.

NPI 1215403654Corning, NYSocial Worker

Profile Overview

NPI
1215403654
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 23, 2018
Last Updated
October 23, 2018

Practice Location

  • 77 E 1St St
  • Corning, NY 14830-2715

Phone: (607) 936-1771

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1215403654
Entity Type
Individual
Last Name
Gerretsen
First Name
Taliet
Credential
LMSW
Mailing Street Address
77 E 1St St
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-2715
Mailing Country
US
Practice Street Address
77 E 1St St
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2715
Practice Country
US
Practice Phone
(607) 936-1771
Enumeration Date
October 23, 2018
Last Updated
October 23, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)