National Provider Identifier

Courtney Wilson

Courtney Wilson is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 668-7622.

NPI 1053704478Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1053704478
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 10, 2015
Last Updated
August 25, 2021

Practice Location

  • 2563 Union RD Ste 800
  • Cheektowaga, NY 14227-2277

Phone: (716) 668-7622

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1053704478
Entity Type
Individual
Last Name
Wilson
First Name
Courtney
Provider Other Last Name
Marcolini
Provider Other First Name
Courtney
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
2563 Union RD Ste 800
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-2277
Practice Country
US
Practice Phone
(716) 668-7622
Enumeration Date
March 10, 2015
Last Updated
August 25, 2021
Sex
Female
Sole Proprietor
No
Certification Date
August 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)