National Provider Identifier

Mary Lou George, LCSW

Mary Lou George, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 348-3000.

NPI 1083051932Buffalo, NYClinical Social Worker

Profile Overview

NPI
1083051932
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 02, 2013
Last Updated
June 02, 2013

Practice Location

  • 184 Barton St
  • Buffalo, NY 14213-1573

Phone: (716) 348-3000

Mailing Address

  • 91 Roxbury Park
  • East Amherst, NY 14051-1769

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1083051932
Entity Type
Individual
Last Name
George
First Name
Mary Lou
Name Prefix
MS.
Credential
LCSW
Mailing Street Address
91 Roxbury Park
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1769
Mailing Country
US
Mailing Phone
(716) 636-7432
Practice Street Address
184 Barton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1573
Practice Country
US
Practice Phone
(716) 348-3000
Enumeration Date
June 02, 2013
Last Updated
June 02, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)