National Provider Identifier
Kristen M Eddy, LMSW
Kristen M Eddy, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Waverly, NY and a listed phone number of (607) 565-9594.
Profile Overview
- NPI
- 1316241169
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 07, 2011
- Last Updated
- November 18, 2014
Practice Location
- 80 William Donnelly Indus Pkwy
- Waverly, NY 14892-1500
Phone: (607) 565-9594
Mailing Address
- 257 Main St
- Binghamton, NY 13905-2522
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316241169
- Entity Type
- Individual
- Last Name
- Eddy
- First Name
- Kristen
- Middle Name
- M
- Credential
- LMSW
- Mailing Street Address
- 257 Main St
- Mailing City
- Binghamton
- Mailing State
- NY
- Mailing ZIP Code
- 13905-2522
- Mailing Country
- US
- Mailing Phone
- (607) 729-6206
- Mailing Fax
- (607) 729-1858
- Practice Street Address
- 80 William Donnelly Indus Pkwy
- Practice City
- Waverly
- Practice State
- NY
- Practice ZIP Code
- 14892-1500
- Practice Country
- US
- Practice Phone
- (607) 565-9594
- Practice Fax
- (607) 565-7194
- Enumeration Date
- January 07, 2011
- Last Updated
- November 18, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00618162 (NY, Group Practice Medicaid Number), 39062A (Group Practice Medicare Number)