National Provider Identifier
Misty Jean Walters, LCSW-R
Misty Jean Walters, LCSW-R is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 479-9970.
Profile Overview
- NPI
- 1285910299
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- October 24, 2011
- Last Updated
- November 09, 2023
Practice Location
- 1325 Main St
- Buffalo, NY 14209-1988
Phone: (716) 479-9970
Mailing Address
- 6884 Nickis Ln
- Apt 3
- Niagara Falls, NY 14304-6527
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1285910299
- Entity Type
- Individual
- Last Name
- Walters
- First Name
- Misty
- Middle Name
- Jean
- Credential
- LCSW-R
- Mailing Street Address
- 6884 Nickis Ln
- Mailing Address Line 2
- Apt 3
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-6527
- Mailing Country
- US
- Mailing Phone
- (716) 304-6609
- Practice Street Address
- 1325 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1988
- Practice Country
- US
- Practice Phone
- (716) 479-9970
- Enumeration Date
- October 24, 2011
- Last Updated
- November 09, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 09, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)