National Provider Identifier
Jillian Courtney Mittiga, LCSW
Jillian Courtney Mittiga, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 566-5007.
Profile Overview
- NPI
- 1386898211
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 05, 2008
- Last Updated
- December 26, 2018
Practice Location
- 2128 Elmwood Ave
- Buffalo, NY 14207-1910
Phone: (716) 566-5007
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1386898211
- Entity Type
- Individual
- Last Name
- Mittiga
- First Name
- Jillian
- Middle Name
- Courtney
- Name Prefix
- Miss
- Credential
- LCSW
- Mailing Street Address
- 2128 Elmwood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1910
- Mailing Country
- US
- Mailing Phone
- (716) 566-5007
- Practice Street Address
- 2128 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1910
- Practice Country
- US
- Practice Phone
- (716) 566-5007
- Enumeration Date
- November 05, 2008
- Last Updated
- December 26, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 01465154 (NY)