National Provider Identifier
Elizabeth Anne Mammarello, LCSW
Elizabeth Anne Mammarello, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Geneva, NY and a listed phone number of (315) 789-2613.
Profile Overview
- NPI
- 1316412091
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 09, 2018
- Last Updated
- December 10, 2024
Practice Location
- 671 Exchange St
- Geneva, NY 14456-3498
Phone: (315) 789-2613
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316412091
- Entity Type
- Individual
- Last Name
- Mammarello
- First Name
- Elizabeth
- Middle Name
- Anne
- Name Prefix
- Miss
- Credential
- LCSW
- Provider Other Last Name
- Widrick
- Provider Other First Name
- Elizabeth
- Provider Other Middle Name
- Anne
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 671 Exchange St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-3498
- Mailing Country
- US
- Practice Street Address
- 671 Exchange St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-3498
- Practice Country
- US
- Practice Phone
- (315) 789-2613
- Enumeration Date
- October 09, 2018
- Last Updated
- December 10, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 10, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)