National Provider Identifier

Jiayan Wu

Jiayan Wu is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 936-1771.

NPI 1205706363Ithaca, NYClinical Social Worker

Profile Overview

NPI
1205706363
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 05, 2025
Last Updated
November 05, 2025

Practice Location

  • 323 N Tioga St
  • Ithaca, NY 14850-4205

Phone: (607) 936-1771

Mailing Address

  • 33 Denison Pkwy W
  • Corning, NY 14830-2613

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1205706363
Entity Type
Individual
Last Name
Wu
First Name
Jiayan
Mailing Street Address
33 Denison Pkwy W
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-2613
Mailing Country
US
Mailing Phone
(607) 936-1771
Mailing Fax
(607) 229-1200
Practice Street Address
323 N Tioga St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4205
Practice Country
US
Practice Phone
(607) 936-1771
Practice Fax
(607) 229-1200
Enumeration Date
November 05, 2025
Last Updated
November 05, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 05, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)