=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942996137
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIFE STRATEGIES COUNSELING SERVICES LCSW PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2023
-----------------------------------------------------
Last Update Date | 04/12/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1350 BUFFALO RD STE 18
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14624-1856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-415-3760
-----------------------------------------------------
Fax | 585-380-9083
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1350 BUFFALO RD STE 18
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14624-1856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-415-3760
-----------------------------------------------------
Fax | 585-380-9083
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/CLINICAL SOCIAL WORKER
-----------------------------------------------------
Name | DR. NINA RUFFIN
-----------------------------------------------------
Credential | DSW
-----------------------------------------------------
Telephone | 585-415-3760
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------