National Provider Identifier

Charmaine Ann Fanara, LCSW

Charmaine Ann Fanara, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Depew, NY and a listed phone number of (716) 783-0407.

NPI 1740378751Depew, NYClinical Social Worker

Profile Overview

NPI
1740378751
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 11, 2006
Last Updated
November 08, 2023

Practice Location

  • 59 Alys Dr E
  • Depew, NY 14043-1402

Phone: (716) 783-0407

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1740378751
Entity Type
Individual
Last Name
Fanara
First Name
Charmaine
Middle Name
Ann
Name Prefix
MS.
Credential
LCSW
Mailing Street Address
59 Alys Dr E
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1402
Mailing Country
US
Mailing Phone
(716) 391-7356
Mailing Fax
(716) 393-3430
Practice Street Address
59 Alys Dr E
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1402
Practice Country
US
Practice Phone
(716) 783-0407
Practice Fax
(716) 393-3430
Enumeration Date
October 11, 2006
Last Updated
November 08, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
October 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
00071265-1 (NY)