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NPI Code Detail

MEDICARE: JENNIFER LYNN PRELL MSW

MEDICARE: JENNIFER LYNN PRELL MSW
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
1104100000XSocial Worker114773NY

General Provider Information

NPI Number : 1578180188
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN PRELL MSW
Provider Business Mailing Address
First Line : 564 NIAGARA ST STE 142
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1108
Country : US
Telephone Number : 716-359-1550
Fax Number :
Provider Business Practice Location Address
First Line : 564 NIAGARA ST BLDG 2
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1108
Country : US
Telephone Number : 716-359-1550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2020
Last Update Date : 04/17/2026

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Directions to “ JENNIFER LYNN PRELL MSW” Practice Location

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