Provider Demographics
NPI:1235455817
Name:LEE, JOANNE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:M
Last Name:LEE
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 1:737 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2260
Mailing Address - Country:US
Mailing Address - Phone:716-885-9894
Mailing Address - Fax:716-885-9897
Practice Address - Street 1:737 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2260
Practice Address - Country:US
Practice Address - Phone:716-885-9894
Practice Address - Fax:716-885-9897
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY075883-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical