National Provider Identifier

Audrey Johnston, LCSW

Audrey Johnston, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Orchard Park, NY and a listed phone number of (716) 662-2040.

NPI 1598706285Orchard Park, NYClinical Social Worker

Profile Overview

NPI
1598706285
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 10, 2006
Last Updated
July 08, 2007

Practice Location

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Phone: (716) 662-2040

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1598706285
Entity Type
Individual
Last Name
Johnston
First Name
Audrey
Credential
LCSW
Provider Other Last Name
Bouchard
Provider Other First Name
Audrey
Provider Other Last Name Type Code
1
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
227 Thorn Ave
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2600
Practice Country
US
Practice Phone
(716) 662-2040
Practice Fax
(716) 662-0019
Enumeration Date
June 10, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)