National Provider Identifier

Lisa D Maynard

Lisa D Maynard is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 507-7588.

NPI 1558733352Rochester, NYClinical Social Worker

Source: public NPPES record, last updated October 20, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1558733352
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 20, 2015
Last Updated
October 20, 2015

Practice Location

  • 20 Goodman St N
  • Rochester, NY 14607-1577

Phone: (585) 507-7588

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1558733352
Entity Type
Individual
Last Name
Maynard
First Name
Lisa
Middle Name
D
Mailing Street Address
20 Goodman St N
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1577
Mailing Country
US
Mailing Phone
(585) 507-7588
Practice Street Address
20 Goodman St N
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1577
Practice Country
US
Practice Phone
(585) 507-7588
Enumeration Date
October 20, 2015
Last Updated
October 20, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)