National Provider Identifier

Diane L. Shultz, LCSW-R

Diane L. Shultz, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 681-7394.

NPI 1568429579Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1568429579
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
April 26, 2006
Last Updated
July 08, 2007

Practice Location

  • 3719 Union RD
  • Suite 214
  • Cheektowaga, NY 14225-4249

Phone: (716) 681-7394

Mailing Address

  • 525 Washington St
  • Managed Care Department
  • Buffalo, NY 14203-1711

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1568429579
Entity Type
Individual
Last Name
Shultz
First Name
Diane
Middle Name
L.
Credential
LCSW-R
Mailing Street Address
525 Washington St
Mailing Address Line 2
Managed Care Department
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1711
Mailing Country
US
Mailing Phone
(716) 856-4494
Mailing Fax
(716) 842-1277
Practice Street Address
3719 Union RD
Practice Address Line 2
Suite 214
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4249
Practice Country
US
Practice Phone
(716) 681-7394
Practice Fax
(716) 685-9087
Enumeration Date
April 26, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
160743251-60 (NY, Prism)