| Western New York Licensed Clinical Social Work Services Pllc | |
|
300 N Forest Rd. Ste #s258 Williamsville NY 14221-1608 | |
| (716) 628-5296 | |
| Not Available |
| Full Name | Western New York Licensed Clinical Social Work Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 N Forest Rd., Williamsville, New York |
| Authorized Official Name and Position | Shirley Mazourek (OWNER) |
| Authorized Official Contact | 7166285296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Licensed Clinical Social Work Services Pllc 223 Cottonwood Drive Williamsville NY 14221-1608 Ph: (716) 628-5296 | Western New York Licensed Clinical Social Work Services Pllc 300 N Forest Rd. Ste #s258 Williamsville NY 14221-1608 Ph: (716) 628-5296 |
| NPI Number | 1780350074 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Certification Date | 08/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780350074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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