National Provider Identifier
Ilene Gaffin, LCSW
Ilene Gaffin, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 275-0558.
Profile Overview
- NPI
- 1699831396
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 28, 2006
- Last Updated
- April 26, 2021
Practice Location
- 120 E Buffalo St
- Ste 4
- Ithaca, NY 14850-4266
Phone: (607) 275-0558
Mailing Address
- 320 Linn St
- Ithaca, NY 14850-3719
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1699831396
- Entity Type
- Individual
- Last Name
- Gaffin
- First Name
- Ilene
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 320 Linn St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3719
- Mailing Country
- US
- Mailing Phone
- (607) 275-0558
- Practice Street Address
- 120 E Buffalo St
- Practice Address Line 2
- Ste 4
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4266
- Practice Country
- US
- Practice Phone
- (607) 275-0558
- Enumeration Date
- December 28, 2006
- Last Updated
- April 26, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 138407 (Vo Bmp), 209429 (Excellus Hmo Blue), 28552230 (Excellus Cny Cswr), 5059010 (Aetna), 0005363002 (Ghi Empire), 000914002001 (Health Now)