National Provider Identifier
Mark Werner Edson, L.C.S.W.- R
Mark Werner Edson, L.C.S.W.- R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 681-5718.
Profile Overview
- NPI
- 1235218330
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2470 Walden Ave
- Cheektowaga, NY 14225-4751
Phone: (716) 681-5718
Mailing Address
- 545 Kings Hwy
- Buffalo, NY 14226-4543
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1235218330
- Entity Type
- Individual
- Last Name
- Edson
- First Name
- Mark
- Middle Name
- Werner
- Name Prefix
- Mr.
- Credential
- L.C.S.W.- R
- Mailing Street Address
- 545 Kings Hwy
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4543
- Mailing Country
- US
- Mailing Phone
- (716) 839-4545
- Practice Street Address
- 2470 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4751
- Practice Country
- US
- Practice Phone
- (716) 681-5718
- Practice Fax
- (716) 681-5300
- Enumeration Date
- November 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 000510795001 (NY, Blue Cross / Blue Shield)