Laura Lynn Neratko, LCSW

Individual provider Active NPI Clinical Social Worker · Brocton, NY

NPI 1225465115 · NPPES record last updated Oct 9, 2013

Key facts

NPI
1225465115
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
081018-1 (NY)
Practice address
138 West Main St.
Brocton, NY 14716
Phone
(716) 792-2140
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
081018-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081018-1 NY Yes

Addresses

Primary practice location

138 West Main St.
Brocton, NY 14716

Mailing address

138 West Main St.
Brocton, NY 14716
Phone (716) 792-2140

Other providers in Brocton, NY

All providers in Brocton, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.