National Provider Identifier

Jason Goldwasser

Jason Goldwasser is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 396-4363.

NPI 1235539537Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1235539537
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 25, 2014
Last Updated
August 25, 2014

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-4363

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1235539537
Entity Type
Individual
Last Name
Goldwasser
First Name
Jason
Mailing Street Address
3019 County Complex Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9505
Mailing Country
US
Mailing Phone
(585) 396-4363
Mailing Fax
(585) 396-4993
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-4363
Practice Fax
(585) 396-4993
Enumeration Date
August 25, 2014
Last Updated
August 25, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)