National Provider Identifier

Mary Lucarelli, LCSW

Mary Lucarelli, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Eden, NY and a listed phone number of (716) 338-7208.

NPI 1447824230Eden, NYClinical Social Worker

Profile Overview

NPI
1447824230
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 17, 2021
Last Updated
May 17, 2021

Practice Location

  • 4010 N Boston RD
  • Eden, NY 14057-9682

Phone: (716) 338-7208

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1447824230
Entity Type
Individual
Last Name
Lucarelli
First Name
Mary
Credential
LCSW
Mailing Street Address
4010 N Boston RD
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057-9682
Mailing Country
US
Mailing Phone
(716) 338-7208
Practice Street Address
4010 N Boston RD
Practice City
Eden
Practice State
NY
Practice ZIP Code
14057-9682
Practice Country
US
Practice Phone
(716) 338-7208
Enumeration Date
May 17, 2021
Last Updated
May 17, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
May 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)