National Provider Identifier
Deborah Ann Burke-Gravetter, LCSW
Deborah Ann Burke-Gravetter, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Brockport, NY and a listed phone number of (585) 415-4913.
Profile Overview
- NPI
- 1770533044
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 10, 2006
- Last Updated
- February 01, 2017
Practice Location
- 80 West Ave # 9
- Brockport, NY 14420-1322
Phone: (585) 415-4913
Mailing Address
- 30 Highview Cir
- Brockport, NY 14420-2637
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1770533044
- Entity Type
- Individual
- Last Name
- Burke-Gravetter
- First Name
- Deborah
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 30 Highview Cir
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2637
- Mailing Country
- US
- Mailing Phone
- (585) 415-4913
- Mailing Fax
- (585) 637-8096
- Practice Street Address
- 80 West Ave # 9
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1322
- Practice Country
- US
- Practice Phone
- (585) 415-4913
- Practice Fax
- (585) 637-8096
- Enumeration Date
- May 10, 2006
- Last Updated
- February 01, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 02717320 (NY), P010045000 (NY, Lcsw)