Healthcare Provider Details

I. General information

NPI: 1316529944
Provider Name (Legal Business Name): CHRISTINA WOJCIECHOWSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 SOUTHWESTERN BLVD STE 110
ORCHARD PARK NY
14127-1231
US

IV. Provider business mailing address

73 OLD FARM RD
ORCHARD PARK NY
14127-2853
US

V. Phone/Fax

Practice location:
  • Phone: 716-903-6036
  • Fax:
Mailing address:
  • Phone: 716-289-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number097419-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: