National Provider Identifier
Samantha Ciccarelli
Samantha Ciccarelli is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 896-7422.
Source: public NPPES record, last updated October 09, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1932405727
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 27, 2011
- Last Updated
- October 09, 2014
Practice Location
- 1131 Broadway St
- Buffalo, NY 14212-1501
Phone: (716) 896-7422
Mailing Address
- 1526 Walden Ave Ste 400
- Cheektowaga, NY 14225-4985
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Samantha Ciccarelli is a Buffalo-area licensed mental health counselor. Her New York licensure record shows licensure in mental health counseling dating to 2013 and current state registration through April 2027.
Full Record
- NPI
- 1932405727
- Entity Type
- Individual
- Last Name
- Ciccarelli
- First Name
- Samantha
- Mailing Street Address
- 1526 Walden Ave Ste 400
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4985
- Mailing Country
- US
- Practice Street Address
- 1131 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1501
- Practice Country
- US
- Practice Phone
- (716) 896-7422
- Practice Fax
- (716) 896-7717
- Enumeration Date
- January 27, 2011
- Last Updated
- October 09, 2014
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Mental Health Counselor (101YM0800X)