Healthcare Provider Details

I. General information

NPI: 1083197040
Provider Name (Legal Business Name): ALYSSA ANNAMARIE SWATKOWSKI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 02/28/2026
Certification Date: 02/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 ORCHARD PARK ROAD
WEST SENECA NY
14224
US

IV. Provider business mailing address

227 THORN AVE
ORCHARD PARK NY
14127-2600
US

V. Phone/Fax

Practice location:
  • Phone: 716-828-0560
  • Fax: 716-823-0751
Mailing address:
  • Phone: 716-662-2040
  • Fax: 716-662-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number095772
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: