National Provider Identifier
Penny Suzette Weller, LCSW-R
Penny Suzette Weller, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Webster, NY and a listed phone number of (585) 752-0198.
Profile Overview
- NPI
- 1164719555
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 06, 2011
- Last Updated
- July 06, 2011
Practice Location
- 8 Tilsit Way
- Webster, NY 14580-4705
Phone: (585) 752-0198
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1164719555
- Entity Type
- Individual
- Last Name
- Weller
- First Name
- Penny
- Middle Name
- Suzette
- Name Prefix
- MS.
- Credential
- LCSW-R
- Provider Other Last Name
- Green
- Provider Other First Name
- Penny
- Provider Other Middle Name
- Suzette
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- LCSW-R
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8 Tilsit Way
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-4705
- Mailing Country
- US
- Mailing Phone
- (585) 752-0198
- Practice Street Address
- 8 Tilsit Way
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-4705
- Practice Country
- US
- Practice Phone
- (585) 752-0198
- Enumeration Date
- July 06, 2011
- Last Updated
- July 06, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)