National Provider Identifier

Justin Spears, LCSW

Justin Spears, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 217-6112.

NPI 1437677044Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1437677044
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 04, 2017
Last Updated
July 14, 2022

Practice Location

  • 3435 Harlem RD
  • Cheektowaga, NY 14225-2021

Phone: (716) 217-6112

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1437677044
Entity Type
Individual
Last Name
Spears
First Name
Justin
Credential
LCSW
Mailing Street Address
3435 Harlem RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-2021
Mailing Country
US
Practice Street Address
3435 Harlem RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2021
Practice Country
US
Practice Phone
(716) 217-6112
Enumeration Date
September 04, 2017
Last Updated
July 14, 2022
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
July 14, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)