National Provider Identifier

Theresa M Slocum, LCSW

Theresa M Slocum, LCSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Olean, NY and a listed phone number of (585) 307-8842.

NPI 1174036701Olean, NYMental Health Counselor

Profile Overview

NPI
1174036701
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
November 06, 2017
Last Updated
September 07, 2022

Practice Location

  • 2765 Route 16 N
  • Olean, NY 14760-9747

Phone: (585) 307-8842

Specialties

  • Mental Health Counselor (101YM0800X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1174036701
Entity Type
Individual
Last Name
Slocum
First Name
Theresa
Middle Name
M
Credential
LCSW
Mailing Street Address
2765 Route 16 N
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-9747
Mailing Country
US
Mailing Phone
(585) 307-8842
Practice Street Address
2765 Route 16 N
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-9747
Practice Country
US
Practice Phone
(585) 307-8842
Enumeration Date
November 06, 2017
Last Updated
September 07, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
September 07, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Clinical Social Worker (1041C0700X)
Other Identifiers
1174036701 (NPI)