National Provider Identifier

Jennelle Rachel Whitcomb, LCSW-R

Jennelle Rachel Whitcomb, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 874-4500.

NPI 1184766800Buffalo, NYClinical Social Worker

Source: public NPPES record, last updated October 04, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1184766800
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 12, 2007
Last Updated
October 04, 2016

Practice Location

  • 2128 Elmwood Ave
  • Buffalo, NY 14207-1910

Phone: (716) 874-4500

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1184766800
Entity Type
Individual
Last Name
Whitcomb
First Name
Jennelle
Middle Name
Rachel
Name Prefix
Mrs.
Credential
LCSW-R
Provider Other Last Name
Bloomberg-Whitcomb
Provider Other First Name
Jennelle
Provider Other Middle Name
Rachel
Provider Other Last Name Type Code
1
Mailing Street Address
2128 Elmwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1910
Mailing Country
US
Mailing Phone
(716) 874-4500
Mailing Fax
(716) 874-3195
Practice Street Address
2128 Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1910
Practice Country
US
Practice Phone
(716) 874-4500
Practice Fax
(716) 874-3195
Enumeration Date
February 12, 2007
Last Updated
October 04, 2016
Sex
Female
Sole Proprietor
No
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
01465154 (NY), 3300881570 (Clia)