National Provider Identifier
Grace I. Clark-Burch, LCSW-R
Grace I. Clark-Burch, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Depew, NY and a listed phone number of (716) 706-5921.
Profile Overview
- NPI
- 1922048180
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 07, 2006
- Last Updated
- May 08, 2018
Practice Location
- 4711 Transit RD
- Suite 3 Forestream Village
- Depew, NY 14043-4888
Phone: (716) 706-5921
Mailing Address
- 247 East Ave
- Lockport, NY 14094-3825
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1922048180
- Entity Type
- Individual
- Last Name
- Clark-Burch
- First Name
- Grace
- Middle Name
- I.
- Credential
- LCSW-R
- Mailing Street Address
- 247 East Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-3825
- Mailing Country
- US
- Mailing Phone
- (716) 393-2905
- Mailing Fax
- (716) 433-0100
- Practice Street Address
- 4711 Transit RD
- Practice Address Line 2
- Suite 3 Forestream Village
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4888
- Practice Country
- US
- Practice Phone
- (716) 706-5921
- Practice Fax
- (716) 706-5923
- Enumeration Date
- June 07, 2006
- Last Updated
- May 08, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00030241501 (NY, Univera), 000506354003 (NY, Community Blue)