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.
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)
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
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 01465154 (NY), 3300881570 (Clia)