National Provider Identifier

Jacquelyn Rose Gorski, LCSW-R

Jacquelyn Rose Gorski, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 444-7778.

NPI 1780460022Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1780460022
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 04, 2023
Last Updated
September 04, 2023

Practice Location

  • 50 Mapleview RD
  • Cheektowaga, NY 14225-1521

Phone: (716) 444-7778

Specialties

  • Clinical Social Worker (1041C0700X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1780460022
Entity Type
Individual
Last Name
Gorski
First Name
Jacquelyn
Middle Name
Rose
Credential
LCSW-R
Mailing Street Address
50 Mapleview RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1521
Mailing Country
US
Mailing Phone
(716) 444-7778
Practice Street Address
50 Mapleview RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1521
Practice Country
US
Practice Phone
(716) 444-7778
Enumeration Date
September 04, 2023
Last Updated
September 04, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)