National Provider Identifier

Carriage House Psychotherapy Lcsw PC

Carriage House Psychotherapy Lcsw PC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 546-5180.

NPI 1134245541Rochester, NYClinical Social Worker

Profile Overview

NPI
1134245541
Provider Type
Organization
Primary Specialty
Clinical Social Worker
Enumeration Date
March 21, 2007
Last Updated
August 22, 2020

Practice Location

  • 399 Alexander St
  • Rochester, NY 14607-1001

Phone: (585) 546-5180

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1134245541
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Carriage House Psychotherapy Lcsw PC
Mailing Street Address
399 Alexander St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1001
Mailing Country
US
Mailing Phone
(585) 546-5180
Mailing Fax
(585) 546-5954
Practice Street Address
399 Alexander St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1001
Practice Country
US
Practice Phone
(585) 546-5180
Practice Fax
(585) 546-5954
Enumeration Date
March 21, 2007
Last Updated
August 22, 2020
Authorized Official Last Name
Meadows
Authorized Official First Name
Robert
Authorized Official Middle Name
Paul
Authorized Official Title
President
Authorized Official Phone
(585) 546-5180
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
Authorized Official Credential Text
LCSW
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)