Jean Isabella Dittman, M.S.W., L.C.S.W.-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R036533-1 Issued in NY

Practice address

VA Wny Healthcare System/528
3495 Bailey Avenue
Buffalo, NY 14215-0000

Phone

(716) 862-6016

Fax

(716) 834-7329

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1053328344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SHERBROOKE AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213422",
            "telephone_number": "716-862-6016",
            "fax_number": "716-834-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA WNY HEALTHCARE SYSTEM/528",
            "address_2": "3495 BAILEY AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142150000",
            "telephone_number": "716-862-6016",
            "fax_number": "716-834-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMAN",
        "first_name": "JEAN",
        "middle_name": "ISABELLA",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.C.S.W.-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036533-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily M Disalvo, LMSW
• Discount Pharmacty LLC
• Elizabeth Denise Ditonto, MD, MD
• Mikaela Ditonto, PA-C
• Kaitlin A Dittiger
• Guy Ditursi, DDS
• Sara Ditursi, PHARMD
• Alexandra Nicole Divasta
• Divergent Health Wellness-Nurse Practitioner in Adult Health
• Victoria Divilio, DDS

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.