National Provider Identifier

Jean Marie Gargala, LCSW-R

Jean Marie Gargala, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Amherst, NY and a listed phone number of (717) 404-9765.

NPI 1710289772Amherst, NYClinical Social Worker

Profile Overview

NPI
1710289772
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 24, 2010
Last Updated
August 11, 2013

Practice Location

  • 4955 N Bailey Ave
  • Suite 214
  • Amherst, NY 14226-1206

Phone: (717) 404-9765

Mailing Address

  • 31 Sweethaven Ct
  • Amherst, NY 14228-1881

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1710289772
Entity Type
Individual
Last Name
Gargala
First Name
Jean
Middle Name
Marie
Name Prefix
Mrs.
Credential
LCSW-R
Mailing Street Address
31 Sweethaven Ct
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1881
Mailing Country
US
Mailing Phone
(716) 404-9765
Mailing Fax
(716) 688-8684
Practice Street Address
4955 N Bailey Ave
Practice Address Line 2
Suite 214
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1206
Practice Country
US
Practice Phone
(717) 404-9765
Practice Fax
(716) 688-8684
Enumeration Date
November 24, 2010
Last Updated
August 11, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)