National Provider Identifier
Tracey A. Botham, LCSW-R
Tracey A. Botham, LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Dunkirk, NY and a listed phone number of (716) 366-3533.
Profile Overview
- NPI
- 1003912700
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 16, 2006
- Last Updated
- October 20, 2020
Practice Location
- 425 Main St.
- Dunkirk, NY 14048
Phone: (716) 366-3533
Mailing Address
- 741 Delaware Ave
- Buffalo, NY 14209-2201
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1003912700
- Entity Type
- Individual
- Last Name
- Botham
- First Name
- Tracey
- Middle Name
- A.
- Credential
- LCSW-R
- Mailing Street Address
- 741 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2201
- Mailing Country
- US
- Mailing Phone
- (716) 218-1400
- Mailing Fax
- (716) 332-2820
- Practice Street Address
- 425 Main St.
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048
- Practice Country
- US
- Practice Phone
- (716) 366-3533
- Practice Fax
- (716) 363-1184
- Enumeration Date
- September 16, 2006
- Last Updated
- October 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)