MEDICARE: THOMAS MUECKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1285585240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MUECKE

Provider Business Mailing Address
First Line	:	55 DODGE RD
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 NIAGARA ST
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-1104
Country	:	US
Telephone Number	:	716-485-1650
Fax Number	:	716-485-1650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ THOMAS MUECKE ” Practice Location

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