National Provider Identifier

Thomas Donald Grinnell Jr., LCSW

Thomas Donald Grinnell Jr., 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) 882-3151.

NPI 1578711685Buffalo, NYClinical Social Worker

Profile Overview

NPI
1578711685
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 03, 2008
Last Updated
March 19, 2012

Practice Location

  • 625 Delaware Ave
  • Suite 204
  • Buffalo, NY 14202-1009

Phone: (716) 882-3151

Mailing Address

  • 255 Delaware Ave
  • Suite 300
  • Buffalo, NY 14202-2016

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1578711685
Entity Type
Individual
Last Name
Grinnell
First Name
Thomas
Middle Name
Donald
Name Prefix
Mr.
Name Suffix
Jr.
Credential
LCSW
Mailing Street Address
255 Delaware Ave
Mailing Address Line 2
Suite 300
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2016
Mailing Country
US
Mailing Phone
(716) 842-0440
Mailing Fax
(716) 842-4069
Practice Street Address
625 Delaware Ave
Practice Address Line 2
Suite 204
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1009
Practice Country
US
Practice Phone
(716) 882-3151
Practice Fax
(716) 886-4002
Enumeration Date
September 03, 2008
Last Updated
March 19, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)