National Provider Identifier
Jean Isabella Dittman, M.S.W., L.C.S.W.-R
Jean Isabella Dittman, M.S.W., L.C.S.W.-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 862-6016.
Profile Overview
- NPI
- 1053328344
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 01, 2006
- Last Updated
- September 10, 2009
Practice Location
- Va Wny Healthcare System/528
- 3495 Bailey Avenue
- Buffalo, NY 14215-0000
Phone: (716) 862-6016
Mailing Address
- 259 Sherbrooke Ave
- Williamsville, NY 14221-3422
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1053328344
- Entity Type
- Individual
- Last Name
- Dittman
- First Name
- Jean
- Middle Name
- Isabella
- Name Prefix
- MS.
- Credential
- M.S.W., L.C.S.W.-R
- Mailing Street Address
- 259 Sherbrooke Ave
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3422
- Mailing Country
- US
- Mailing Phone
- (716) 862-6016
- Mailing Fax
- (716) 834-7329
- Practice Street Address
- Va Wny Healthcare System/528
- Practice Address Line 2
- 3495 Bailey Avenue
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-0000
- Practice Country
- US
- Practice Phone
- (716) 862-6016
- Practice Fax
- (716) 834-7329
- Enumeration Date
- August 01, 2006
- Last Updated
- September 10, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)