Healthcare Provider Details

I. General information

NPI: 1831722701
Provider Name (Legal Business Name): SARA MARRANCA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA LEIGHTON

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4535 SOUTHWESTERN BLVD STE 706A
HAMBURG NY
14075-1870
US

IV. Provider business mailing address

5909 PINEHURST CT
LAKE VIEW NY
14085-9202
US

V. Phone/Fax

Practice location:
  • Phone: 716-578-2588
  • Fax:
Mailing address:
  • Phone: 716-578-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number090779-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: