National Provider Identifier

Lacey Joy Hastreiter, LCSWR

Lacey Joy Hastreiter, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Gainesville, NY and a listed phone number of (716) 983-7473.

NPI 1700385549Gainesville, NYClinical Social Worker

Profile Overview

NPI
1700385549
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 07, 2018
Last Updated
February 07, 2018

Practice Location

  • 4872 Poplar Tree RD
  • Gainesville, NY 14066-9720

Phone: (716) 983-7473

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1700385549
Entity Type
Individual
Last Name
Hastreiter
First Name
Lacey
Middle Name
Joy
Credential
LCSWR
Mailing Street Address
4872 Poplar Tree RD
Mailing City
Gainesville
Mailing State
NY
Mailing ZIP Code
14066-9720
Mailing Country
US
Mailing Phone
(716) 983-7473
Practice Street Address
4872 Poplar Tree RD
Practice City
Gainesville
Practice State
NY
Practice ZIP Code
14066-9720
Practice Country
US
Practice Phone
(716) 983-7473
Enumeration Date
February 07, 2018
Last Updated
February 07, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)