National Provider Identifier
Wataru Okada, LCSW
Wataru Okada, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (234) 201-0577.
Profile Overview
- NPI
- 1083163000
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 03, 2016
- Last Updated
- July 17, 2023
Practice Location
- 490 E Ridge Road
- Rochester, NY 14621
Phone: (234) 201-0577
Mailing Address
- 2604 Elmwood Ave # 240
- Rochester, NY 14618-2213
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1083163000
- Entity Type
- Individual
- Last Name
- Okada
- First Name
- Wataru
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 2604 Elmwood Ave # 240
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2213
- Mailing Country
- US
- Mailing Phone
- (234) 201-0577
- Practice Street Address
- 490 E Ridge Road
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (234) 201-0577
- Enumeration Date
- October 03, 2016
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 091169 (NY, Nys Education Dept. Office Of Professions)