National Provider Identifier
Jesse Grossman, LICENSED CLINICAL SO
Jesse Grossman, LICENSED CLINICAL SO is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 816-2588.
Profile Overview
- NPI
- 1992291579
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 06, 2018
- Last Updated
- July 06, 2018
Practice Location
- 400 Forest Avenue
- Buffalo, NY 14213
Phone: (716) 816-2588
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1992291579
- Entity Type
- Individual
- Last Name
- Grossman
- First Name
- Jesse
- Credential
- LICENSED CLINICAL SO
- Mailing Street Address
- 400 Forest Avenue
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213
- Mailing Country
- US
- Practice Street Address
- 400 Forest Avenue
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (716) 816-2588
- Enumeration Date
- July 06, 2018
- Last Updated
- July 06, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)