| Joelle Stoltzfus, Lcsw, Pllc | |
|
2178 Main St Buffalo NY 14214-2634 | |
| (716) 704-8049 | |
| (716) 299-2020 |
| Full Name | Joelle Stoltzfus, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2178 Main St, Buffalo, New York |
| Authorized Official Name and Position | Joelle Stoltzfus (MEMBER) |
| Authorized Official Contact | 7167048049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joelle Stoltzfus, Lcsw, Pllc 2178 Main St Buffalo NY 14214-2634 Ph: (716) 704-8049 | Joelle Stoltzfus, Lcsw, Pllc 2178 Main St Buffalo NY 14214-2634 Ph: (716) 704-8049 |
| NPI Number | 1235965492 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 4082140207 |
|---|---|
| Medicare Enrollment ID | O20241211004168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235965492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joelle Lee Stoltzfus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124501556 PECOS PAC ID: 4284049347 Enrollment ID: I20210223001448 |
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