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Organization
WOODBRIDGE COUNSELING LCSW PC
Active
Organization
WOODBRIDGE COUNSELING LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS J NOVOTNY LCSWR ACSW (PRESIDENT DIRECTOR CLIN SOCIAL WKR)
(716) 572-2365
Entity
Organization
Contact information
Practice address
6161 TRANSIT ROAD, SUITE 4, EAST AMHERST, NY 14051
(716) 572-2365
(716) 332-1168
Mailing address
6161 TRANSIT ROAD, SUITE 4, EAST AMHERST, NY 14051
(716) 572-2365
(716) 332-1168
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R0427401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11579263
CAQ HID
—
Enumeration date
09/27/2006
Last updated
08/22/2020
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