National Provider Identifier
Laurie B Ganger, LICSW
Laurie B Ganger, LICSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Brockport, NY and a listed phone number of (585) 637-2670.
Profile Overview
- NPI
- 1790867935
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 19, 2006
- Last Updated
- April 20, 2021
Practice Location
- 6668 Fourth Section RD
- Brockport, NY 14420-2448
Phone: (585) 637-2670
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Clinical Social Worker (1041C0700X)
Endpoints
- lganger273060@direct.rochesterregional.org
Direct Messaging Address | Brockport, NY 14420
Full Record
- NPI
- 1790867935
- Entity Type
- Individual
- Last Name
- Ganger
- First Name
- Laurie
- Middle Name
- B
- Credential
- LICSW
- Provider Other Last Name
- Licciardi
- Provider Other First Name
- Laurie
- Provider Other Middle Name
- Brooks
- Provider Other Credential Text
- LICENSED MASTER SOCI
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 368-6870
- Mailing Fax
- (585) 368-6871
- Practice Street Address
- 6668 Fourth Section RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2448
- Practice Country
- US
- Practice Phone
- (585) 637-2670
- Practice Fax
- (585) 637-3678
- Enumeration Date
- October 19, 2006
- Last Updated
- April 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)