National Provider Identifier

Overstory Counseling Lcsw

Overstory Counseling Lcsw is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (518) 882-8241.

NPI 1063244036Rochester, NYClinical Social Worker

Profile Overview

NPI
1063244036
Provider Type
Organization
Primary Specialty
Clinical Social Worker
Enumeration Date
August 17, 2024
Last Updated
August 17, 2024

Practice Location

  • 66 Crawford St
  • Rochester, NY 14620-2426

Phone: (518) 882-8241

Mailing Address

  • PO Box 18354
  • Rochester, NY 14618-0354

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1063244036
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Overstory Counseling Lcsw
Mailing Street Address
PO Box 18354
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-0354
Mailing Country
US
Practice Street Address
66 Crawford St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2426
Practice Country
US
Practice Phone
(518) 882-8241
Enumeration Date
August 17, 2024
Last Updated
August 17, 2024
Authorized Official Last Name
Griswold
Authorized Official First Name
Ross
Authorized Official Title
Owner/Member
Authorized Official Phone
(518) 882-8241
Organization Subpart
No
Authorized Official Credential Text
LCSW
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
August 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)