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NPI Code Detail

MEDICARE: MS. JANELLE N MANSPEAKER LCSW-R

MEDICARE: MS. JANELLE N MANSPEAKER LCSW-R
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
11041C0700XClinical Social Worker078440NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285869123
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANELLE N MANSPEAKER LCSW-R
Provider Business Mailing Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-310-3568
Fax Number :
Provider Business Practice Location Address
First Line : 381 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-310-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2009
Last Update Date : 11/24/2019

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