National Provider Identifier

Jessica Wallner, LMSW

Jessica Wallner, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7278.

NPI 1679273312Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1679273312
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 09, 2023
Last Updated
March 09, 2023

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7278

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1679273312
Entity Type
Individual
Last Name
Wallner
First Name
Jessica
Name Prefix
Mrs.
Credential
LMSW
Mailing Street Address
400 Fort Hill Ave
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1159
Mailing Country
US
Mailing Phone
(585) 393-7278
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7278
Enumeration Date
March 09, 2023
Last Updated
March 09, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 09, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)