National Provider Identifier

Stephanie Renee Moore, L.M.S.W.

Stephanie Renee Moore, L.M.S.W. is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 852-1117.

NPI 1033347711Buffalo, NYSocial Worker

Profile Overview

NPI
1033347711
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
July 01, 2009
Last Updated
November 19, 2009

Practice Location

  • 254 Franklin St
  • Buffalo, NY 14202-1932

Phone: (716) 852-1117

Mailing Address

  • 2047 Townhall Ter
  • Apartment 4
  • Grand Island, NY 14072-1756

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1033347711
Entity Type
Individual
Last Name
Moore
First Name
Stephanie
Middle Name
Renee
Credential
L.M.S.W.
Mailing Street Address
2047 Townhall Ter
Mailing Address Line 2
Apartment 4
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1756
Mailing Country
US
Mailing Phone
(716) 870-1651
Practice Street Address
254 Franklin St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1932
Practice Country
US
Practice Phone
(716) 852-1117
Enumeration Date
July 01, 2009
Last Updated
November 19, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)