MEDICARE: LAUREN JAGORD-FARINACCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	088339	NY

General Provider Information

NPI Number	:	1669822987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN JAGORD-FARINACCI

Provider Business Mailing Address
First Line	:	77 ELAINE CT
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1623
Country	:	US
Telephone Number	:	716-444-4918
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 ELAINE CT
Second Line	:
City	:	CHEEKTOWAGA
State	:	NY
Zip	:	14225-1623
Country	:	US
Telephone Number	:	716-444-4918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	12/22/2025

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