National Provider Identifier
Mary Gannon, LMSW
Mary Gannon, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 859-5469.
Profile Overview
- NPI
- 1477394385
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 04, 2024
- Last Updated
- June 04, 2024
Practice Location
- 1028 Main St
- Buffalo, NY 14202-1102
Phone: (716) 859-5469
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1477394385
- Entity Type
- Individual
- Last Name
- Gannon
- First Name
- Mary
- Credential
- LMSW
- Mailing Street Address
- 1028 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1102
- Mailing Country
- US
- Mailing Phone
- (716) 859-5469
- Practice Street Address
- 1028 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1102
- Practice Country
- US
- Practice Phone
- (716) 859-5469
- Enumeration Date
- June 04, 2024
- Last Updated
- June 04, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 04, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)