National Provider Identifier

Alexis Luttrell-Brown

Alexis Luttrell-Brown is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 874-4500.

NPI 1619264843Buffalo, NYSocial Worker

Profile Overview

NPI
1619264843
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
July 08, 2011
Last Updated
October 25, 2018

Practice Location

  • 2128 Elmwood Ave
  • Buffalo, NY 14207-1910

Phone: (716) 874-4500

Mailing Address

  • 625 Delaware Ave Ste 204
  • Buffalo, NY 14202-1007

Specialties

  • Social Worker (104100000X)
  • Counselor (101Y00000X)
Full Record
NPI
1619264843
Entity Type
Individual
Last Name
Luttrell-Brown
First Name
Alexis
Name Prefix
Mrs.
Provider Other Last Name
Luttrell
Provider Other First Name
Alexis
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
LCSW-R
Provider Other Last Name Type Code
1
Mailing Street Address
625 Delaware Ave Ste 204
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1007
Mailing Country
US
Mailing Phone
(716) 882-3151
Practice Street Address
2128 Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1910
Practice Country
US
Practice Phone
(716) 874-4500
Enumeration Date
July 08, 2011
Last Updated
October 25, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X), Counselor (101Y00000X)
Other Identifiers
01465154 (NY)