National Provider Identifier

Laura Widger, LCSW

Laura Widger, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ellicottville, NY and a listed phone number of (716) 244-0612.

NPI 1790092021Ellicottville, NYClinical Social Worker

Profile Overview

NPI
1790092021
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 08, 2010
Last Updated
June 04, 2025

Practice Location

  • 53 Elizabeth St
  • Ellicottville, NY 14731-9761

Phone: (716) 244-0612

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1790092021
Entity Type
Individual
Last Name
Widger
First Name
Laura
Credential
LCSW
Mailing Street Address
53 Elizabeth St
Mailing City
Ellicottville
Mailing State
NY
Mailing ZIP Code
14731-9761
Mailing Country
US
Mailing Phone
(716) 244-0612
Practice Street Address
53 Elizabeth St
Practice City
Ellicottville
Practice State
NY
Practice ZIP Code
14731-9761
Practice Country
US
Practice Phone
(716) 244-0612
Enumeration Date
September 08, 2010
Last Updated
June 04, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
June 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
00635098 (NY)