Mauro, Jeremy

Mauro, Jeremy is an sole proprietor health care provider with primary practice located at 265 Union St Ste 104 , Hamburg NY 14075-4755. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mauro, Jeremy can be contacted via phone (716) 562-6075.

Contact Information

Primary practice address
265 Union St Ste 104 Hamburg NY 14075-4755
Phone: (716) 562-6075
Fax: (716) 648-1033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 095247-01 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 097482-1 New York

Profile Details

NPI number 1174979363
LBN Legal business name Mauro, Jeremy
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2016
Last updated Apr 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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