National Provider Identifier

Greater Rochester Area Community Experience Lcsw PLLC

Greater Rochester Area Community Experience Lcsw PLLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 502-1445.

NPI 1477323186Rochester, NYClinical Social Worker

Profile Overview

NPI
1477323186
Provider Type
Organization
Primary Specialty
Clinical Social Worker
Enumeration Date
January 03, 2024
Last Updated
January 03, 2024

Practice Location

  • 36 Winthrop St
  • Rochester, NY 14607-1326

Phone: (585) 502-1445

Specialties

  • Clinical Social Worker (1041C0700X)
  • Case Manager/Care Coordinator (171M00000X)
  • Marriage & Family Therapist (106H00000X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1477323186
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Greater Rochester Area Community Experience Lcsw PLLC
Mailing Street Address
36 Winthrop St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1326
Mailing Country
US
Mailing Phone
(585) 502-1445
Mailing Fax
(585) 625-0398
Practice Street Address
36 Winthrop St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1326
Practice Country
US
Practice Phone
(585) 502-1445
Practice Fax
(585) 625-0398
Enumeration Date
January 03, 2024
Last Updated
January 03, 2024
Authorized Official Last Name
Vendrell
Authorized Official First Name
Vilma
Authorized Official Middle Name
L
Authorized Official Title
Owner
Authorized Official Phone
(585) 502-1445
Organization Subpart
No
Authorized Official Credential Text
LCSW-R
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Taxonomy Group 4
193200000X Multi-Specialty Group
Certification Date
January 03, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Case Manager/Care Coordinator (171M00000X), Marriage & Family Therapist (106H00000X), Mental Health Counselor (101YM0800X)