National Provider Identifier
Jack McFadden
Jack McFadden is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Warsaw, NY and a listed phone number of (585) 786-0190.
Profile Overview
- NPI
- 1740909654
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 24, 2022
- Last Updated
- August 24, 2022
Practice Location
- 39 Duncan St
- Warsaw, NY 14569-1017
Phone: (585) 786-0190
Mailing Address
- 40 Arielle Ct Apt D
- Williamsville, NY 14221-1949
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1740909654
- Entity Type
- Individual
- Last Name
- McFadden
- First Name
- Jack
- Mailing Street Address
- 40 Arielle Ct Apt D
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-1949
- Mailing Country
- US
- Mailing Phone
- (609) 457-3521
- Practice Street Address
- 39 Duncan St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1017
- Practice Country
- US
- Practice Phone
- (585) 786-0190
- Enumeration Date
- August 24, 2022
- Last Updated
- August 24, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)