National Provider Identifier

Jessica Beryl Twining, LCSW

Jessica Beryl Twining, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 831-0200.

NPI 1285966812Buffalo, NYClinical Social Worker

Profile Overview

NPI
1285966812
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 08, 2010
Last Updated
April 11, 2014

Practice Location

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Phone: (716) 831-0200

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1285966812
Entity Type
Individual
Last Name
Twining
First Name
Jessica
Middle Name
Beryl
Credential
LCSW
Provider Other Last Name
Cushman
Provider Other First Name
Jessica
Provider Other Middle Name
Beryl
Provider Other Last Name Type Code
1
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-1800
Practice Street Address
3020 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 831-0200
Enumeration Date
February 08, 2010
Last Updated
April 11, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)