National Provider Identifier
Maryann Antonelli, LCSWR
Maryann Antonelli, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 882-5959.
Profile Overview
- NPI
- 1194921999
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 27, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1300 Niagara St
- Buffalo, NY 14213-1503
Phone: (716) 882-5959
Mailing Address
- 1300 Niagara St
- PO Box 657
- Buffalo, NY 14213-1503
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1194921999
- Entity Type
- Individual
- Last Name
- Antonelli
- First Name
- Maryann
- Name Prefix
- Mrs.
- Credential
- LCSWR
- Mailing Street Address
- 1300 Niagara St
- Mailing Address Line 2
- PO Box 657
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1503
- Mailing Country
- US
- Mailing Phone
- (716) 882-5959
- Mailing Fax
- (716) 882-9277
- Practice Street Address
- 1300 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1503
- Practice Country
- US
- Practice Phone
- (716) 882-5959
- Practice Fax
- (716) 882-9277
- Enumeration Date
- June 27, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 000525362001 (NY, Blue Cross Blue Shield), 040426031160 (NY, Fidels), 7406041 (NY, Ghi)