Organization
LISA FOGEL LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A FOGEL LCSW-R (OWNER)
(585) 474-0356
Entity
Organization
Contact information
Practice address
5 FALCONBRIDGE DR, PITTSFORD, NY 14534-1016
(585) 474-0356
(585) 244-8351
Mailing address
5 FALCONBRIDGE DR, PITTSFORD, NY 14534-1016
(585) 474-0356
(585) 244-8351
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/25/2020
Last updated
04/13/2023
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