Healthcare Provider Details

I. General information

NPI: 1346342326
Provider Name (Legal Business Name): CEATON CHAREN FALGIANO LCSW-R
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 LINWOOD AVE
WILLIAMSVILLE NY
14221-6673
US

IV. Provider business mailing address

21 LINWOOD AVE # A
WILLIAMSVILLE NY
14221-6673
US

V. Phone/Fax

Practice location:
  • Phone: 716-626-9016
  • Fax:
Mailing address:
  • Phone: 716-626-9016
  • Fax: 716-626-4271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR052704-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: