National Provider Identifier

Rebecca Ann Roche, LCSW

Rebecca Ann Roche, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 854-5242.

NPI 1689731952Buffalo, NYClinical Social Worker

Profile Overview

NPI
1689731952
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 03, 2007
Last Updated
July 09, 2007

Practice Location

  • 712 Main St
  • Suite L-2
  • Buffalo, NY 14202-1720

Phone: (716) 854-5242

Mailing Address

  • 346 E River RD
  • Grand Island, NY 14072-3018

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1689731952
Entity Type
Individual
Last Name
Roche
First Name
Rebecca
Middle Name
Ann
Credential
LCSW
Mailing Street Address
346 E River RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-3018
Mailing Country
US
Mailing Phone
(716) 773-6231
Practice Street Address
712 Main St
Practice Address Line 2
Suite L-2
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1720
Practice Country
US
Practice Phone
(716) 854-5242
Enumeration Date
January 03, 2007
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
01910181 (NY), 000525440001 (NY, Provider Num)