National Provider Identifier

Lisa Lynn Erdle, LCSW

Lisa Lynn Erdle, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 738-4048.

NPI 1194051375Rochester, NYClinical Social Worker

Profile Overview

NPI
1194051375
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 23, 2009
Last Updated
May 31, 2024

Practice Location

  • 45 Allens Creek RD
  • Rochester, NY 14618-3227

Phone: (585) 738-4048

Mailing Address

  • 198 Kirk RD
  • Rochester, NY 14612-3361

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1194051375
Entity Type
Individual
Last Name
Erdle
First Name
Lisa
Middle Name
Lynn
Name Prefix
Mrs.
Credential
LCSW
Mailing Street Address
198 Kirk RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-3361
Mailing Country
US
Mailing Phone
(585) 738-4048
Practice Street Address
45 Allens Creek RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-3227
Practice Country
US
Practice Phone
(585) 738-4048
Enumeration Date
October 23, 2009
Last Updated
May 31, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 31, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)