National Provider Identifier

Donna M Fahrenholz, LCSW-R

Donna M Fahrenholz, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 883-1914.

NPI 1295819696Buffalo, NYClinical Social Worker

Profile Overview

NPI
1295819696
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 24, 2006
Last Updated
July 09, 2007

Practice Location

  • 70 Barker St
  • Buffalo, NY 14209-2013

Phone: (716) 883-1914

Mailing Address

  • 41 Winterhall RD
  • Orchard Park, NY 14127-2891

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1295819696
Entity Type
Individual
Last Name
Fahrenholz
First Name
Donna
Middle Name
M
Name Prefix
Mrs.
Credential
LCSW-R
Mailing Street Address
41 Winterhall RD
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2891
Mailing Country
US
Mailing Phone
(716) 662-3865
Mailing Fax
(716) 662-7878
Practice Street Address
70 Barker St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2013
Practice Country
US
Practice Phone
(716) 883-1914
Practice Fax
(716) 883-7637
Enumeration Date
October 24, 2006
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
00688211 (NY)