National Provider Identifier

Jennifer Lee Mansaray, LCSW-C

Jennifer Lee Mansaray, LCSW-C is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 662-2040.

NPI 1235638859Buffalo, NYClinical Social Worker

Profile Overview

NPI
1235638859
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 09, 2018
Last Updated
May 27, 2025

Practice Location

  • 1280 Main St
  • Buffalo, NY 14209-1912

Phone: (716) 662-2040

Mailing Address

  • 1800 Orleans St
  • Baltimore, MD 21287-0010

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1235638859
Entity Type
Individual
Last Name
Mansaray
First Name
Jennifer
Middle Name
Lee
Credential
LCSW-C
Provider Other Last Name
Cruttenden
Provider Other First Name
Jennifer
Provider Other Middle Name
Lee
Provider Other Last Name Type Code
1
Mailing Street Address
1800 Orleans St
Mailing City
Baltimore
Mailing State
MD
Mailing ZIP Code
21287-0010
Mailing Country
US
Mailing Phone
(443) 398-2828
Practice Street Address
1280 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1912
Practice Country
US
Practice Phone
(716) 662-2040
Practice Fax
(716) 662-0019
Enumeration Date
February 09, 2018
Last Updated
May 27, 2025
Sex
Female
Sole Proprietor
No
Certification Date
May 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)