| Western New York Licensed Clinical Social Work Services, Pllc | |
|
300 N. Forest Rd. Ste #s256 Williamsville NY 14221-5056 | |
| (716) 628-5296 | |
| Not Available |
| Full Name | Western New York Licensed Clinical Social Work Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 300 N. Forest Rd., Williamsville, New York |
| Authorized Official Name and Position | Shirley B. Mazourek (OWNER/FOUNDER) |
| Authorized Official Contact | 7166285296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western New York Licensed Clinical Social Work Services, Pllc 223 Cottonwood Drive Williamsville NY 14221-1608 Ph: (716) 628-5296 | Western New York Licensed Clinical Social Work Services, Pllc 300 N. Forest Rd. Ste #s256 Williamsville NY 14221-5056 Ph: (716) 628-5296 |
| NPI Number | 1316648710 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Medicare PECOS PAC ID | 2365807542 |
|---|---|
| Medicare Enrollment ID | O20230421001079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316648710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shirley B Mazourek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760545834 PECOS PAC ID: 6103908140 Enrollment ID: I20080129000583 |
Junaid Hashim Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5904 Sheridan Dr, Ste 1, Williamsville, NY 14221 Phone: 716-831-9435 | |
Avalon Centers, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 346 Harris Hill Rd, Williamsville, NY 14221 Phone: 716-839-0999 Fax: 716-839-2058 | |
Amherst Neurologic Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4140 Sheridan Drive, Suite 5, Williamsville, NY 14221 Phone: 716-634-2652 Fax: 716-634-2653 | |
Nina Szarafin, Lscw, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8205 Main St Ste 14, Williamsville, NY 14221 Phone: 716-203-1096 | |
Williamsville Psychiatry, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple Rd, Suite 200, Williamsville, NY 14221 Phone: 716-886-5493 | |
Directions Mental Health Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Youngs Rd Ste 300, Williamsville, NY 14221 Phone: 855-284-7483 | |
Kinkel Neurologic Center, Llp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Limestone Dr, Suite B, Williamsville, NY 14221 Phone: 716-632-9399 Fax: 716-692-4342 |