National Provider Identifier

Deja La Shay Middlebrook, LMSW

Deja La Shay Middlebrook, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 710-5151.

NPI 1902682396Buffalo, NYSocial Worker

Profile Overview

NPI
1902682396
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
September 01, 2023
Last Updated
May 23, 2024

Practice Location

  • 695 Genesee St
  • Buffalo, NY 14211-3162

Phone: (716) 710-5151

Mailing Address

  • 229 W Genesee St # 1116
  • Buffalo, NY 14202-2604

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1902682396
Entity Type
Individual
Last Name
Middlebrook
First Name
Deja
Middle Name
La Shay
Name Prefix
Mrs.
Credential
LMSW
Mailing Street Address
229 W Genesee St # 1116
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2604
Mailing Country
US
Mailing Phone
(716) 239-4746
Practice Street Address
695 Genesee St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-3162
Practice Country
US
Practice Phone
(716) 710-5151
Enumeration Date
September 01, 2023
Last Updated
May 23, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 23, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)