National Provider Identifier

Connie Marie Mastowski, LCSW/R

Connie Marie Mastowski, LCSW/R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 334-6000.

NPI 1093745192Rochester, NYClinical Social Worker

Profile Overview

NPI
1093745192
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 04, 2006
Last Updated
November 30, 2007

Practice Location

  • 3399 Winton RD S
  • Rochester, NY 14623-3057

Phone: (585) 334-6000

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1093745192
Entity Type
Individual
Last Name
Mastowski
First Name
Connie
Middle Name
Marie
Credential
LCSW/R
Provider Other Last Name
Guerrieri
Provider Other First Name
Connie
Provider Other Middle Name
Marie
Provider Other Last Name Type Code
1
Mailing Street Address
3399 Winton RD S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-3057
Mailing Country
US
Mailing Phone
(585) 334-6000
Mailing Fax
(585) 334-2858
Practice Street Address
3399 Winton RD S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3057
Practice Country
US
Practice Phone
(585) 334-6000
Practice Fax
(585) 334-2858
Enumeration Date
July 04, 2006
Last Updated
November 30, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
00355344 (NY), 11546334 (NY, Caqh)