National Provider Identifier
Elisse Marie Antczak, LCSWR
Elisse Marie Antczak, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Snyder, NY and a listed phone number of (716) 238-0829.
Profile Overview
- NPI
- 1316008352
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 13, 2006
- Last Updated
- September 07, 2022
Practice Location
- 3960 Harlem RD Ste 10
- Snyder, NY 14226-4706
Phone: (716) 238-0829
Mailing Address
- 3960 Sheridan Drive
- Suite 10
- Snyder, NY 14226
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316008352
- Entity Type
- Individual
- Last Name
- Antczak
- First Name
- Elisse
- Middle Name
- Marie
- Credential
- LCSWR
- Mailing Street Address
- 3960 Sheridan Drive
- Mailing Address Line 2
- Suite 10
- Mailing City
- Snyder
- Mailing State
- NY
- Mailing ZIP Code
- 14226
- Mailing Country
- US
- Mailing Phone
- (716) 238-0829
- Mailing Fax
- (716) 898-8802
- Practice Street Address
- 3960 Harlem RD Ste 10
- Practice City
- Snyder
- Practice State
- NY
- Practice ZIP Code
- 14226-4706
- Practice Country
- US
- Practice Phone
- (716) 238-0829
- Practice Fax
- (716) 898-8802
- Enumeration Date
- December 13, 2006
- Last Updated
- September 07, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 6211545 (NY, Independent Health), 00026849603 (NY, Univera), 000526673002 (NY, Blue Cross & Blue Shield)