Individual
LINDSAY LOUISE BORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 710-4393
(716) 856-5614
Mailing address
768 DELAWARE AVE, BUFFALO, NY 14209-2006
(716) 882-3151
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72-P126814-01
NY
171M00000X
Case Manager/Care Coordinator
708813695
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
NY
01
—
171M00000X
TAXONOMY CODE
NY
Enumeration date
07/14/2021
Last updated
06/12/2024
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