National Provider Identifier

Mary Alison Smith

Mary Alison Smith is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 897-6700.

NPI 1902414410Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1902414410
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 21, 2020
Last Updated
July 21, 2020

Practice Location

  • 1526 Walden Ave Ste 400
  • Cheektowaga, NY 14225-4985

Phone: (716) 897-6700

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1902414410
Entity Type
Individual
Last Name
Smith
First Name
Mary
Middle Name
Alison
Provider Other Last Name
Smith
Provider Other First Name
Alison
Provider Other Middle Name
M.
Provider Other Credential Text
LCSW
Provider Other Last Name Type Code
2
Mailing Street Address
1526 Walden Ave Ste 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4985
Mailing Country
US
Mailing Phone
(716) 897-6700
Practice Street Address
1526 Walden Ave Ste 400
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4985
Practice Country
US
Practice Phone
(716) 897-6700
Enumeration Date
July 21, 2020
Last Updated
July 21, 2020
Sex
Female
Sole Proprietor
No
Certification Date
July 21, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)