National Provider Identifier
Jessica L. Bosarge, LCSW
Jessica L. Bosarge, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Batavia, NY and a listed phone number of (585) 344-1421.
Profile Overview
- NPI
- 1740513969
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 08, 2009
- Last Updated
- September 23, 2025
Practice Location
- 5130 E Main St Ste 2
- Batavia, NY 14020-3444
Phone: (585) 344-1421
Mailing Address
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1740513969
- Entity Type
- Individual
- Last Name
- Bosarge
- First Name
- Jessica
- Middle Name
- L.
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Mailing Phone
- (716) 831-0200
- Mailing Fax
- (716) 831-0206
- Practice Street Address
- 5130 E Main St Ste 2
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3444
- Practice Country
- US
- Practice Phone
- (585) 344-1421
- Practice Fax
- (585) 344-3047
- Enumeration Date
- September 08, 2009
- Last Updated
- September 23, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 23, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)