=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255116703
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARLENE TARIQ LMSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2023
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 381 KENMORE AVE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14223-2861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-291-0059
-----------------------------------------------------
Fax | 716-242-7981
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 381 KENMORE AVE
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14223-2861
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-316-9547
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 115198
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------