MEDICARE: ALYSIA A JANIK 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
1	1041C0700X	Clinical Social Worker	R072622-1	NY

General Provider Information

NPI Number	:	1972511681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSIA A JANIK LCSW-R

Provider Business Mailing Address
First Line	:	2350 N FOREST RD STE 35B
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1296
Country	:	US
Telephone Number	:	716-626-9016
Fax Number	:	716-626-4271

Provider Business Practice Location Address
First Line	:	2350 N FOREST RD STE 35B
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1296
Country	:	US
Telephone Number	:	716-626-9016
Fax Number	:	716-626-4271

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	12/16/2025

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