Healthcare Provider Details

I. General information

NPI: 1134046972
Provider Name (Legal Business Name): ERIN MCCALE TESLUK MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6350 MAIN ST
WILLIAMSVILLE NY
14221-5821
US

IV. Provider business mailing address

6350 MAIN ST
WILLIAMSVILLE NY
14221-5821
US

V. Phone/Fax

Practice location:
  • Phone: 716-783-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number2054720261
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: