National Provider Identifier
Shirley Mazourek, MSW, LCSW-R
Shirley Mazourek, MSW, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 898-1675.
Profile Overview
- NPI
- 1760545834
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 19, 2006
- Last Updated
- September 19, 2014
Practice Location
- 1010 Main Street
- Ecmc Outpatient Clinic
- Buffalo, NY 14202
Phone: (716) 898-1675
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1760545834
- Entity Type
- Individual
- Last Name
- Mazourek
- First Name
- Shirley
- Name Prefix
- MS.
- Credential
- MSW, LCSW-R
- Mailing Street Address
- 1010 Main Street
- Mailing Address Line 2
- Ecmc Outpatient Clinic
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202
- Mailing Country
- US
- Mailing Phone
- (716) 898-1675
- Mailing Fax
- (716) 898-1311
- Practice Street Address
- 1010 Main Street
- Practice Address Line 2
- Ecmc Outpatient Clinic
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202
- Practice Country
- US
- Practice Phone
- (716) 898-1675
- Practice Fax
- (716) 898-1311
- Enumeration Date
- December 19, 2006
- Last Updated
- September 19, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)
- Other Identifiers
- 0073074963 (NY)