National Provider Identifier

Katelyn Janelle Cornell, LMSW

Katelyn Janelle Cornell, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Depew, NY and a listed phone number of (716) 680-2373.

NPI 1386155588Depew, NYClinical Social Worker

Profile Overview

NPI
1386155588
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 16, 2017
Last Updated
October 16, 2017

Practice Location

  • 2478 George Urban Blvd
  • Depew, NY 14043-2010

Phone: (716) 680-2373

Mailing Address

  • 205 Water St
  • Fredonia, NY 14063-2023

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1386155588
Entity Type
Individual
Last Name
Cornell
First Name
Katelyn
Middle Name
Janelle
Credential
LMSW
Mailing Street Address
205 Water St
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-2023
Mailing Country
US
Mailing Phone
(716) 680-2373
Practice Street Address
2478 George Urban Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-2010
Practice Country
US
Practice Phone
(716) 680-2373
Practice Fax
(716) 901-7407
Enumeration Date
October 16, 2017
Last Updated
October 16, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)