National Provider Identifier

Gary Scott Wolk, LCSW-R, CASAC, CGP

Gary Scott Wolk, LCSW-R, CASAC, CGP is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 546-6560.

NPI 1780653931Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1780653931
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
March 17, 2006
Last Updated
September 11, 2025

Practice Location

  • 16 N Goodman St
  • Rochester, NY 14607-1554

Phone: (585) 546-6560

Mailing Address

  • 114 High St
  • Avon, NY 14414-1006

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1780653931
Entity Type
Individual
Last Name
Wolk
First Name
Gary
Middle Name
Scott
Name Prefix
Mr.
Credential
LCSW-R, CASAC, CGP
Mailing Street Address
114 High St
Mailing City
Avon
Mailing State
NY
Mailing ZIP Code
14414-1006
Mailing Country
US
Mailing Phone
(585) 226-3842
Practice Street Address
16 N Goodman St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1554
Practice Country
US
Practice Phone
(585) 546-6560
Enumeration Date
March 17, 2006
Last Updated
September 11, 2025
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Clinical Social Worker (1041C0700X)
Other Identifiers
02561291 (NY), 114045FK (NY, Preferred Care/Mvp Health), 7758505 (NY, Aetna Ppo/Pos (Pin))