Provider Demographics
NPI:1124040233
Name:WANEY, MICHELLE ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ELIZABETH
Last Name:WANEY
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 1:355 HARLEM ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1892
Mailing Address - Country:US
Mailing Address - Phone:716-558-5522
Mailing Address - Fax:716-842-1277
Practice Address - Street 1:355 HARLEM ROAD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1892
Practice Address - Country:US
Practice Address - Phone:716-558-5522
Practice Address - Fax:716-694-0793
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00030241501OtherUNIVERA
NY000506354006OtherCOMMUNITY BLUE