National Provider Identifier
Mariah Lynn Komenda, LCSW
Mariah Lynn Komenda, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Fredonia, NY and a listed phone number of (716) 672-6117.
Profile Overview
- NPI
- 1770967804
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 18, 2015
- Last Updated
- April 15, 2022
Practice Location
- 355 Central Ave
- Fredonia, NY 14063-1132
Phone: (716) 672-6117
Mailing Address
- 246 Waverly St
- Springville, NY 14141-1060
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1770967804
- Entity Type
- Individual
- Last Name
- Komenda
- First Name
- Mariah
- Middle Name
- Lynn
- Credential
- LCSW
- Mailing Street Address
- 246 Waverly St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-1060
- Mailing Country
- US
- Mailing Phone
- (716) 353-2593
- Practice Street Address
- 355 Central Ave
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1132
- Practice Country
- US
- Practice Phone
- (716) 672-6117
- Practice Fax
- (716) 672-6120
- Enumeration Date
- July 18, 2015
- Last Updated
- April 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)