National Provider Identifier
Mary Erin Koprevich, CRC, LCSW-R
Mary Erin Koprevich, CRC, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Grand Island, NY and a listed phone number of (716) 573-7026.
Profile Overview
- NPI
- 1417954678
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 02, 2005
- Last Updated
- October 14, 2009
Practice Location
- 2680 Grand Island Blvd
- Grand Island, NY 14072-1693
Phone: (716) 573-7026
Mailing Address
- 1961 Harvey RD
- Grand Island, NY 14072-2108
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1417954678
- Entity Type
- Individual
- Last Name
- Koprevich
- First Name
- Mary
- Middle Name
- Erin
- Name Prefix
- Mrs.
- Credential
- CRC, LCSW-R
- Mailing Street Address
- 1961 Harvey RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2108
- Mailing Country
- US
- Mailing Phone
- (716) 573-7026
- Mailing Fax
- (716) 773-5642
- Practice Street Address
- 2680 Grand Island Blvd
- Practice City
- Grand Island
- Practice State
- NY
- Practice ZIP Code
- 14072-1693
- Practice Country
- US
- Practice Phone
- (716) 573-7026
- Practice Fax
- (716) 773-5642
- Enumeration Date
- July 02, 2005
- Last Updated
- October 14, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 213352471 (NY, United Behavioral Health), 6213037 (NY, Independent Health), 000 2731 6601 (NY, Univera), 02247661 (NY), 000 528 268 001 (NY, Bc Bs Of Wny)