Individual
MR. GARY SCOTT WOLK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW-R, CASAC, CGP
Contact information
Practice address
16 N GOODMAN ST, ROCHESTER, NY 14607-1554
(585) 546-6560
Mailing address
114 HIGH ST, AVON, NY 14414-1006
(585) 226-3842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5666
NY
1041C0700X
Clinical Social Worker
R058024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02561291
—
NY
01
—
114045FK
PREFERRED CARE/MVP HEALTH
NY
01
—
7758505
AETNA PPO/POS (PIN)
NY
Enumeration date
03/17/2006
Last updated
09/11/2025
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