National Provider Identifier

Breanna Ciccarelli, LMSW

Breanna Ciccarelli, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Lockport, NY and a listed phone number of (716) 278-8176.

NPI 1104235191Lockport, NYSocial Worker

Profile Overview

NPI
1104235191
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
August 05, 2014
Last Updated
August 05, 2014

Practice Location

  • 5467 Upper Mountain RD Ste 200
  • Lockport, NY 14094-1854

Phone: (716) 278-8176

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1104235191
Entity Type
Individual
Last Name
Ciccarelli
First Name
Breanna
Credential
LMSW
Mailing Street Address
5467 Upper Mountain RD Ste 200
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-1854
Mailing Country
US
Mailing Phone
(716) 278-8176
Mailing Fax
(716) 278-8130
Practice Street Address
5467 Upper Mountain RD Ste 200
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-1854
Practice Country
US
Practice Phone
(716) 278-8176
Practice Fax
(716) 278-8130
Enumeration Date
August 05, 2014
Last Updated
August 05, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)