National Provider Identifier

Rebecca Fazio, LMSW

Rebecca Fazio, LMSW is listed in the NPPES registry with a primary specialty of Counselor in Hamburg, NY and a listed phone number of (716) 646-4991.

NPI 1134899040Hamburg, NYCounselor

Profile Overview

NPI
1134899040
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
September 14, 2021
Last Updated
September 14, 2021

Practice Location

  • 140 Pine St
  • Hamburg, NY 14075

Phone: (716) 646-4991

Mailing Address

  • 140 Pine Street
  • Hamburg, NY 14075

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1134899040
Entity Type
Individual
Last Name
Fazio
First Name
Rebecca
Credential
LMSW
Mailing Street Address
140 Pine Street
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075
Mailing Country
US
Mailing Phone
(716) 646-4991
Mailing Fax
(716) 646-4990
Practice Street Address
140 Pine St
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075
Practice Country
US
Practice Phone
(716) 646-4991
Practice Fax
(716) 646-4990
Enumeration Date
September 14, 2021
Last Updated
September 14, 2021
Sex
Female
Sole Proprietor
No
Certification Date
August 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)