National Provider Identifier

Johnny Sparrow, LCSW

Johnny Sparrow, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 957-0447.

NPI 1790134997Rochester, NYClinical Social Worker

Profile Overview

NPI
1790134997
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 08, 2016
Last Updated
December 21, 2021

Practice Location

  • 70 Grecian Pkwy
  • Rochester, NY 14626-1938

Phone: (585) 957-0447

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1790134997
Entity Type
Individual
Last Name
Sparrow
First Name
Johnny
Credential
LCSW
Mailing Street Address
70 Grecian Pkwy
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-1938
Mailing Country
US
Mailing Phone
(585) 957-0447
Practice Street Address
70 Grecian Pkwy
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-1938
Practice Country
US
Practice Phone
(585) 957-0447
Enumeration Date
June 08, 2016
Last Updated
December 21, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
December 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)