National Provider Identifier
Mary J Nixon, LCSW-R
Mary J Nixon, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Kenmore, NY and a listed phone number of (716) 597-6178.
Profile Overview
- NPI
- 1275542722
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 05, 2006
- Last Updated
- July 08, 2007
Practice Location
- 32 Landers RD
- Kenmore, NY 14217-2406
Phone: (716) 597-6178
Mailing Address
- 252 E Hazeltine Ave
- Kenmore, NY 14217-2829
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1275542722
- Entity Type
- Individual
- Last Name
- Nixon
- First Name
- Mary
- Middle Name
- J
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 252 E Hazeltine Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2829
- Mailing Country
- US
- Mailing Phone
- (716) 876-5130
- Mailing Fax
- (716) 876-5130
- Practice Street Address
- 32 Landers RD
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2406
- Practice Country
- US
- Practice Phone
- (716) 597-6178
- Enumeration Date
- August 05, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00027123401 (NY, Univera), 000503631001 (NY, Blue Cross Blue Shield)