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General NPI Number Information
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NPI Number | 1962388231
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Entity Type | Organization
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Legal Business Name | EMPOWERING HEARTS LCSW PLLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 300 INTERNATIONAL DR STE 100
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5783
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Country | US
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Telephone | 716-986-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ENDICOTT DR
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City | AMHERST
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State | NY
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Zip | 14226-3321
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Country | US
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Telephone | 716-986-7078
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MRS. LISA MAY RUSSELL
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Credential | LCSW
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Telephone | 716-479-7817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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