National Provider Identifier

Larusha Blakely

Larusha Blakely is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 381-7302.

NPI 1467251983Buffalo, NYSocial Worker

Profile Overview

NPI
1467251983
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 08, 2025
Last Updated
March 08, 2025

Practice Location

  • 14 Lafayette Sq
  • Buffalo, NY 14203-1929

Phone: (716) 381-7302

Mailing Address

  • 33 Norwood Ave
  • Buffalo, NY 14222-2103

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1467251983
Entity Type
Individual
Last Name
Blakely
First Name
Larusha
Mailing Street Address
33 Norwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-2103
Mailing Country
US
Mailing Phone
(716) 381-7302
Practice Street Address
14 Lafayette Sq
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1929
Practice Country
US
Practice Phone
(716) 381-7302
Enumeration Date
March 08, 2025
Last Updated
March 08, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
March 08, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)