Healthcare Provider Details
I. General information
NPI: 1982747101
Provider Name (Legal Business Name): CATTARAUGUS COUNTY DEPT. COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
203 LAURENS ST
OLEAN NY
14760-2511
US
IV. Provider business mailing address
203 LAURENS ST
OLEAN NY
14760
US
V. Phone/Fax
- Phone: 716-373-8080
- Fax: 716-373-8093
- Phone: 716-373-8080
- Fax: 716-373-8093
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 00635070 |
| Identifier Type | MEDICAID |
| Identifier State | NY |
| Identifier Issuer | |
VIII. Authorized Official
Name: DR.
ROBERT
A.
DOBMEIER
Title or Position: DIRECTOR
Credential: PHD, LCSW
Phone: 716-373-8040