National Provider Identifier

Jessica Ruth Mazgaj, LCSW

Jessica Ruth Mazgaj, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 418-8655.

NPI 1497988208Buffalo, NYClinical Social Worker

Profile Overview

NPI
1497988208
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 26, 2009
Last Updated
March 20, 2013

Practice Location

  • 60 E Amherst St
  • Buffalo, NY 14214-1804

Phone: (716) 418-8655

Mailing Address

  • 41 Paige Ave
  • Tonawanda, NY 14223-2626

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1497988208
Entity Type
Individual
Last Name
Mazgaj
First Name
Jessica
Middle Name
Ruth
Credential
LCSW
Mailing Street Address
41 Paige Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14223-2626
Mailing Country
US
Mailing Phone
(716) 462-9789
Practice Street Address
60 E Amherst St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1804
Practice Country
US
Practice Phone
(716) 418-8655
Enumeration Date
August 26, 2009
Last Updated
March 20, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)