Amber Blanchard

Individual provider Active NPI Clinical Social Worker · Tonawanda, NY

NPI 1821471541 · NPPES record last updated Aug 6, 2020

Key facts

NPI
1821471541
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089709-01 (NY)
Practice address
1370 Niagara Falls Blvd
Tonawanda, NY 14150-8431
Phone
(716) 833-3792
NPI assigned
Jun 30, 2015
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)
Yes

State licenses

LicenseStateTypeSpecialty
089709-01NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 089709-01 NY Yes

Addresses

Primary practice location

1370 Niagara Falls Blvd
Tonawanda, NY 14150-8431

Mailing address

55 Dodge Rd
Getzville, NY 14068-1205
Phone (716) 831-2700

Other practice location 1

3020 Bailey Ave
Buffalo, NY 14215-2814
Phone (716) 831-2700

Other providers in Tonawanda, NY

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

Sources for this page

Verify at the official NPI Registry.