National Provider Identifier
Dianne Jesikiewicz, LCSWR
Dianne Jesikiewicz, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Tonawanda, NY and a listed phone number of (716) 831-1856.
Profile Overview
- NPI
- 1669481362
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 05, 2006
- Last Updated
- September 10, 2010
Practice Location
- 2309 Eggert RD
- Suite 9
- Tonawanda, NY 14150-9200
Phone: (716) 831-1856
Mailing Address
- 227 Thorn Ave
- PO Box 631
- Orchard Park, NY 14127-2600
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1669481362
- Entity Type
- Individual
- Last Name
- Jesikiewicz
- First Name
- Dianne
- Credential
- LCSWR
- Mailing Street Address
- 227 Thorn Ave
- Mailing Address Line 2
- PO Box 631
- 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
- 2309 Eggert RD
- Practice Address Line 2
- Suite 9
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9200
- Practice Country
- US
- Practice Phone
- (716) 831-1856
- Practice Fax
- (716) 831-0263
- Enumeration Date
- August 05, 2006
- Last Updated
- September 10, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 000524126002 (NY, Blue Cross Blue Shield)