National Provider Identifier
Georgia Ruth Staderman, LCSW
Georgia Ruth Staderman, 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) 281-2017.
Profile Overview
- NPI
- 1851623532
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 05, 2010
- Last Updated
- February 05, 2010
Practice Location
- 1597 Ridge RD W Ste 301
- Rochester, NY 14615-2513
Phone: (585) 281-2017
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1851623532
- Entity Type
- Individual
- Last Name
- Staderman
- First Name
- Georgia
- Middle Name
- Ruth
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 1597 Ridge RD W Ste 301
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14615-2513
- Mailing Country
- US
- Mailing Phone
- (585) 281-2017
- Mailing Fax
- (585) 865-0234
- Practice Street Address
- 1597 Ridge RD W Ste 301
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-2513
- Practice Country
- US
- Practice Phone
- (585) 281-2017
- Practice Fax
- (585) 865-0234
- Enumeration Date
- February 05, 2010
- Last Updated
- February 05, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)