Healthcare Provider Details

I. General information

NPI: 1619102027
Provider Name (Legal Business Name): JUDY M LEHMAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 DUNCAN ST
WARSAW NY
14569-1017
US

IV. Provider business mailing address

5 SHERMAN DR
ARCADE NY
14009-1336
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-0190
  • Fax: 585-786-0196
Mailing address:
  • Phone: 585-492-5126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number72080718
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: