National Provider Identifier

Elaine Koeppel, LCSW R031940

Elaine Koeppel, LCSW R031940 is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Tonawanda, NY and a listed phone number of (716) 836-9460.

NPI 1972679231Tonawanda, NYClinical Social Worker

Profile Overview

NPI
1972679231
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 28, 2006
Last Updated
December 15, 2010

Practice Location

  • 884 Brighton RD
  • Tonawanda, NY 14150-8169

Phone: (716) 836-9460

Mailing Address

  • 253 McKinley Ave
  • Kenmore, NY 14217-2437

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1972679231
Entity Type
Individual
Last Name
Koeppel
First Name
Elaine
Name Prefix
MS.
Credential
LCSW R031940
Mailing Street Address
253 McKinley Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2437
Mailing Country
US
Mailing Phone
(716) 876-0584
Practice Street Address
884 Brighton RD
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8169
Practice Country
US
Practice Phone
(716) 836-9460
Practice Fax
(716) 836-9462
Enumeration Date
November 28, 2006
Last Updated
December 15, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
00R031940 (NY)