National Provider Identifier

Sally A Vicari, LCSW

Sally A Vicari, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Tonawanda, NY and a listed phone number of (716) 462-4355.

NPI 1316397862Tonawanda, NYClinical Social Worker

Profile Overview

NPI
1316397862
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 15, 2016
Last Updated
September 18, 2018

Practice Location

  • 333 Dexter Ter
  • Tonawanda, NY 14150-4747

Phone: (716) 462-4355

Specialties

  • Clinical Social Worker (1041C0700X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1316397862
Entity Type
Individual
Last Name
Vicari
First Name
Sally
Middle Name
A
Name Prefix
Mrs.
Credential
LCSW
Provider Other Last Name
Pastor
Provider Other First Name
Sally
Provider Other Middle Name
A
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
333 Dexter Ter
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4747
Mailing Country
US
Practice Street Address
333 Dexter Ter
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-4747
Practice Country
US
Practice Phone
(716) 462-4355
Enumeration Date
June 15, 2016
Last Updated
September 18, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)
Other Identifiers
01465154 (NY)