National Provider Identifier

Theano Fouskaris, LCSW-R

Theano Fouskaris, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 416-0218.

NPI 1881020022Buffalo, NYClinical Social Worker

Profile Overview

NPI
1881020022
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 19, 2013
Last Updated
August 31, 2022

Practice Location

  • 88 Camden Ave
  • Buffalo, NY 14216-2207

Phone: (716) 416-0218

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1881020022
Entity Type
Individual
Last Name
Fouskaris
First Name
Theano
Credential
LCSW-R
Mailing Street Address
88 Camden Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2207
Mailing Country
US
Mailing Phone
(716) 416-0218
Practice Street Address
88 Camden Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-2207
Practice Country
US
Practice Phone
(716) 416-0218
Enumeration Date
September 19, 2013
Last Updated
August 31, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
August 31, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
01465154 (NY)