Ashley Fratangelo

Individual provider Active NPI Clinical Social Worker · Henrietta, NY

NPI 1639617871 · NPPES record last updated Feb 8, 2017

Key facts

NPI
1639617871
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089476 (NY)
Practice address
60 Florendin Dr
Henrietta, NY 14467-9205
Phone
(585) 627-5892
Fax
(585) 627-5895
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
Yes

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
089476NYMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089476 NY Yes

Addresses

Primary practice location

60 Florendin Dr
Henrietta, NY 14467-9205

Mailing address

60 Florendin Dr
Henrietta, NY 14467-9205
Phone (585) 627-5892

Other providers in Henrietta, NY

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

Sources for this page

Verify at the official NPI Registry.