National Provider Identifier

Ann Marie Elizabeth Licausi, LCSW

Ann Marie Elizabeth Licausi, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in East Amherst, NY and a listed phone number of (716) 228-1253.

NPI 1508519190East Amherst, NYClinical Social Worker

Profile Overview

NPI
1508519190
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 02, 2022
Last Updated
February 02, 2022

Practice Location

  • 5862 Forest Creek Dr
  • East Amherst, NY 14051-1963

Phone: (716) 228-1253

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1508519190
Entity Type
Individual
Last Name
Licausi
First Name
Ann Marie
Middle Name
Elizabeth
Credential
LCSW
Mailing Street Address
5862 Forest Creek Dr
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1963
Mailing Country
US
Mailing Phone
(716) 228-1253
Practice Street Address
5862 Forest Creek Dr
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1963
Practice Country
US
Practice Phone
(716) 228-1253
Enumeration Date
February 02, 2022
Last Updated
February 02, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
February 02, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)