National Provider Identifier

Ivolve Me LLC

Ivolve Me LLC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 633-8776.

NPI 1659965960Rochester, NYClinical Social Worker

Profile Overview

NPI
1659965960
Provider Type
Organization
Primary Specialty
Clinical Social Worker
Enumeration Date
February 26, 2021
Last Updated
February 26, 2021

Practice Location

  • 121 Driving Park Ave
  • Rochester, NY 14613-2097

Phone: (585) 633-8776

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1659965960
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Ivolve Me LLC
Mailing Street Address
121 Driving Park Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14613-2097
Mailing Country
US
Mailing Phone
(585) 633-8776
Practice Street Address
121 Driving Park Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14613-2097
Practice Country
US
Practice Phone
(585) 633-8776
Practice Fax
(585) 446-0486
Enumeration Date
February 26, 2021
Last Updated
February 26, 2021
Authorized Official Last Name
Johnson
Authorized Official First Name
Sylvia
Authorized Official Middle Name
Ann
Authorized Official Title
Owner
Authorized Official Phone
(585) 633-8776
Organization Subpart
No
Authorized Official Credential Text
LCSW
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
February 26, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)