National Provider Identifier

Jean Brandt, LCSW-R

Jean Brandt, LCSW-R is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 883-1914.

NPI 1962419275Buffalo, NYCounselor

Profile Overview

NPI
1962419275
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
August 01, 2006
Last Updated
December 11, 2008

Practice Location

  • 70 Barker St
  • Buffalo, NY 14209-2013

Phone: (716) 883-1914

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1962419275
Entity Type
Individual
Last Name
Brandt
First Name
Jean
Name Prefix
Mrs.
Credential
LCSW-R
Provider Other Last Name
Ciaravino
Provider Other First Name
Jean
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
LCSW-R
Provider Other Last Name Type Code
1
Mailing Street Address
70 Barker St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2013
Mailing Country
US
Mailing Phone
(716) 883-1914
Mailing Fax
(176) 883-7637
Practice Street Address
70 Barker St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-2013
Practice Country
US
Practice Phone
(716) 883-1914
Practice Fax
(716) 883-7637
Enumeration Date
August 01, 2006
Last Updated
December 11, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)
Other Identifiers
000511966001 (NY, Other)