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.
Source: public NPPES record, last updated December 11, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Jean Marie Brandt is a Buffalo-area licensed clinical social worker with a New York licensure history dating to 2001, when she was originally licensed as a Certified Social Worker; NYSED lists her Licensed Clinical Social Work licensure from 2004. The state Office of the Professions also lists her with the R psychotherapy privilege.
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
- Taxonomies
- Counselor (101Y00000X)
- Other Identifiers
- 000511966001 (NY, Other)