Provider Demographics
NPI:1144619552
Name:BITNER, KERREN (LCSWR)
Entity Type:Individual
Prefix:MS
First Name:KERREN
Middle Name:
Last Name:BITNER
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BITNERS QUICKWAY
Mailing Address - Street 2:
Mailing Address - City:OLIVEBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12461-5018
Mailing Address - Country:US
Mailing Address - Phone:845-532-7082
Mailing Address - Fax:
Practice Address - Street 1:17 BITNERS QUICKWAY
Practice Address - Street 2:
Practice Address - City:OLIVEBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:12461-5018
Practice Address - Country:US
Practice Address - Phone:845-657-3379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-22
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO59951-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical