National Provider Identifier

Alicia Licata, LCSW

Alicia Licata, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 255-5675.

NPI 1982209060Cheektowaga, NYClinical Social Worker

Profile Overview

NPI
1982209060
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 04, 2020
Last Updated
December 18, 2024

Practice Location

  • 337 Cleveland Dr
  • Cheektowaga, NY 14215-1952

Phone: (716) 255-5675

Mailing Address

  • 14 Sweetwood Dr
  • Amherst, NY 14228-3017

Specialties

  • Clinical Social Worker (1041C0700X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1982209060
Entity Type
Individual
Last Name
Licata
First Name
Alicia
Credential
LCSW
Mailing Street Address
14 Sweetwood Dr
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-3017
Mailing Country
US
Mailing Phone
(716) 542-2807
Practice Street Address
337 Cleveland Dr
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14215-1952
Practice Country
US
Practice Phone
(716) 255-5675
Enumeration Date
December 04, 2020
Last Updated
December 18, 2024
Sex
Female
Sole Proprietor
No
Certification Date
December 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)