Healthcare Provider Details

I. General information

NPI: 1447023908
Provider Name (Legal Business Name): QUIANA MICHELLE OGDEN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 GENESEE ST
ROCHESTER NY
14611-3621
US

IV. Provider business mailing address

821 EXCHANGE ST
ROCHESTER NY
14608-2719
US

V. Phone/Fax

Practice location:
  • Phone: 585-328-3440
  • Fax:
Mailing address:
  • Phone: 585-709-3865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: