National Provider Identifier

Marilyn Wray, LCSW-R

Marilyn Wray, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Tonawanda, NY and a listed phone number of (716) 510-7644.

NPI 1174547004Tonawanda, NYClinical Social Worker

Profile Overview

NPI
1174547004
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 26, 2006
Last Updated
April 09, 2008

Practice Location

  • 1914 Colvin Blvd
  • Tonawanda, NY 14150-6973

Phone: (716) 510-7644

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1174547004
Entity Type
Individual
Last Name
Wray
First Name
Marilyn
Credential
LCSW-R
Mailing Street Address
1914 Colvin Blvd
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-6973
Mailing Country
US
Mailing Phone
(716) 510-7644
Mailing Fax
(716) 875-4138
Practice Street Address
1914 Colvin Blvd
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-6973
Practice Country
US
Practice Phone
(716) 510-7644
Practice Fax
(716) 875-4138
Enumeration Date
July 26, 2006
Last Updated
April 09, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
6208289 (NY, Independent Health), 7482648 (NY, Value Options/Ghi), 000524117007 (NY, Blue Cross & Blue Shield), 00053094001 (NY, Univera)