National Provider Identifier
Marissa Desiderio, LCSW
Marissa Desiderio, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Amherst, NY and a listed phone number of (716) 427-2071.
Profile Overview
- NPI
- 1972038776
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 29, 2017
- Last Updated
- December 16, 2022
Practice Location
- 4955 N Bailey Ave Ste 108
- Amherst, NY 14226-1206
Phone: (716) 427-2071
Mailing Address
- 215 Parkdale Ave Uppr
- Buffalo, NY 14213-1428
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1972038776
- Entity Type
- Individual
- Last Name
- Desiderio
- First Name
- Marissa
- Credential
- LCSW
- Mailing Street Address
- 215 Parkdale Ave Uppr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1428
- Mailing Country
- US
- Mailing Phone
- (716) 316-3455
- Practice Street Address
- 4955 N Bailey Ave Ste 108
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1206
- Practice Country
- US
- Practice Phone
- (716) 427-2071
- Practice Fax
- (716) 303-7002
- Enumeration Date
- April 29, 2017
- Last Updated
- December 16, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)