Western New York Licensed Clinical Social Work Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES PLLC

Practice address

300 N Forest Rd.
Ste #S258
Williamsville, NY 14221-1608

Phone

(716) 628-5296

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shirley MazourekNPI 1760545834

Title

Owner

Phone

(716) 628-5296

Specialties & licenses 2

Addresses

Other names 1

• WNY LCSW Services PLLC Doing business as

Tax ID family

Western New York Licensed Clinical Social Work Services PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Western New York Licensed Clinical Social Work Services, PLLC

  • Clinical Social Worker
  • Williamsville, NY
  • NPI 1316648710
  NPD tax ID

Locations

Practitioners 1

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

• Shirley Mazourek, MSW, LCSW-R

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1760545834
  NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1780350074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 COTTONWOOD DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211608",
            "telephone_number": "716-628-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N FOREST RD.",
            "address_2": "STE #S258",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211608",
            "telephone_number": "716-628-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "MAZOUREK",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-628-5296",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WNY LCSW Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Thomas G Westner, MD
• Laura Heather Wexler

• Mental Health Counselor in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.