Organization Active NPI

Glowing Ember LCSW PLLC

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1194688085
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GLOWING EMBER LCSW PLLC
Practice address
522 Franklin St
Buffalo, NY 14202-1122
Phone
(716) 218-9512
NPI assigned
Dec 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Maryann Bavisotto, LCSWNPI 1255807525
Title
LCSW
Phone
(716) 218-9512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

522 Franklin St
Buffalo, NY 14202-1122

Mailing address

522 Franklin St
Buffalo, NY 14202-1122
Phone (716) 218-9512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1194688085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021122",
            "telephone_number": "716-218-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021122",
            "telephone_number": "716-218-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWING EMBER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-07",
        "status": "A",
        "authorized_official_last_name": "BAVISOTTO",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "716-218-9512",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.