National Provider Identifier
Sandra H Distefano, LCSW-R, ACSW
Sandra H Distefano, LCSW-R, ACSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Spencerport, NY and a listed phone number of (585) 732-1674.
Profile Overview
- NPI
- 1790052454
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 23, 2011
- Last Updated
- November 23, 2011
Practice Location
- 3599 Big Ridge RD
- Spencerport, NY 14559-1709
Phone: (585) 732-1674
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1790052454
- Entity Type
- Individual
- Last Name
- Distefano
- First Name
- Sandra
- Middle Name
- H
- Name Prefix
- MS.
- Credential
- LCSW-R, ACSW
- Mailing Street Address
- 3599 Big Ridge RD
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-1709
- Mailing Country
- US
- Mailing Phone
- (585) 732-1674
- Practice Street Address
- 3599 Big Ridge RD
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-1709
- Practice Country
- US
- Practice Phone
- (585) 732-1674
- Enumeration Date
- November 23, 2011
- Last Updated
- November 23, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)