Provider Demographics
NPI:1083657191
Name:MCCAFFERY, JUDY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:
Last Name:MCCAFFERY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8047 MARBLE RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:NY
Mailing Address - Zip Code:14001-9212
Mailing Address - Country:US
Mailing Address - Phone:585-542-3931
Mailing Address - Fax:
Practice Address - Street 1:5330 MAIN ST STE 240
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5360
Practice Address - Country:US
Practice Address - Phone:716-626-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0684691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical