National Provider Identifier

Laurel Virginia Stanley, LCSW

Laurel Virginia Stanley, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Olean, NY and a listed phone number of (716) 372-4123.

NPI 1760474324Olean, NYClinical Social Worker

Profile Overview

NPI
1760474324
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
August 19, 2005
Last Updated
August 02, 2010

Practice Location

  • 2656 W State St
  • Suite 511
  • Olean, NY 14760-1871

Phone: (716) 372-4123

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1760474324
Entity Type
Individual
Last Name
Stanley
First Name
Laurel
Middle Name
Virginia
Name Prefix
Mrs.
Credential
LCSW
Mailing Street Address
2656 W State St
Mailing Address Line 2
Suite 511
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1871
Mailing Country
US
Mailing Phone
(716) 372-4123
Mailing Fax
(716) 372-4123
Practice Street Address
2656 W State St
Practice Address Line 2
Suite 511
Practice City
Olean
Practice State
NY
Practice ZIP Code
14760-1871
Practice Country
US
Practice Phone
(716) 372-4123
Practice Fax
(716) 372-4123
Enumeration Date
August 19, 2005
Last Updated
August 02, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
00025419101 (NY, Univera), 00525904001 (NY, Blue Cross/Shield), 6290304 (NY, Independent Health), 230175000 (NY, Magellan)