National Provider Identifier
Jeremy Mauro, LCSW
Jeremy Mauro, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Hamburg, NY and a listed phone number of (716) 562-6075.
Profile Overview
- NPI
- 1174979363
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 06, 2016
- Last Updated
- April 27, 2023
Practice Location
- 265 Union St Ste 104
- Hamburg, NY 14075-4755
Phone: (716) 562-6075
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1174979363
- Entity Type
- Individual
- Last Name
- Mauro
- First Name
- Jeremy
- Credential
- LCSW
- Mailing Street Address
- 265 Union St Ste 104
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-4755
- Mailing Country
- US
- Mailing Phone
- (716) 562-6075
- Mailing Fax
- (716) 648-1033
- Practice Street Address
- 265 Union St Ste 104
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-4755
- Practice Country
- US
- Practice Phone
- (716) 562-6075
- Practice Fax
- (716) 648-1033
- Enumeration Date
- May 06, 2016
- Last Updated
- April 27, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 27, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)