National Provider Identifier
Mary-Beth Petersen-Cleary, LCSW-R
Mary-Beth Petersen-Cleary, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Kenmore, NY and a listed phone number of (716) 877-8822.
Profile Overview
- NPI
- 1912955865
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 04, 2006
- Last Updated
- June 05, 2014
Practice Location
- 3370 Delaware Ave
- Kenmore, NY 14217-1425
Phone: (716) 877-8822
Mailing Address
- 741 Delaware Ave
- Buffalo, NY 14209-2201
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1912955865
- Entity Type
- Individual
- Last Name
- Petersen-Cleary
- First Name
- Mary-Beth
- Credential
- LCSW-R
- Mailing Street Address
- 741 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2201
- Mailing Country
- US
- Mailing Phone
- (716) 218-1400
- Mailing Fax
- (716) 332-2820
- Practice Street Address
- 3370 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1425
- Practice Country
- US
- Practice Phone
- (716) 877-8822
- Practice Fax
- (716) 874-5245
- Enumeration Date
- May 04, 2006
- Last Updated
- June 05, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 000302141501 (NY, Univera), 000590325001 (NY, Bluecross/Blueshield)