National Provider Identifier
Tasha R Visosky, LMSW
Tasha R Visosky, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Jamestown, NY and a listed phone number of (716) 661-8330.
Profile Overview
- NPI
- 1134344013
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 16, 2007
- Last Updated
- September 08, 2023
Practice Location
- 200 E 3Rd St Ste 5
- Jamestown, NY 14701-5433
Phone: (716) 661-8330
Mailing Address
- 2 Academy Street
- Suite 201
- Mayville, NY 14757
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1134344013
- Entity Type
- Individual
- Last Name
- Visosky
- First Name
- Tasha
- Middle Name
- R
- Credential
- LMSW
- Provider Other Last Name
- Bradigan
- Provider Other First Name
- Tasha
- Provider Other Middle Name
- Rae
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2 Academy Street
- Mailing Address Line 2
- Suite 201
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757
- Mailing Country
- US
- Mailing Phone
- (716) 753-4554
- Mailing Fax
- (716) 753-4230
- Practice Street Address
- 200 E 3Rd St Ste 5
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5433
- Practice Country
- US
- Practice Phone
- (716) 661-8330
- Practice Fax
- (716) 753-4230
- Enumeration Date
- April 16, 2007
- Last Updated
- September 08, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)