Provider Demographics
NPI:1427368521
Name:MESSER, ELIZABETH SUSAN (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:SUSAN
Last Name:MESSER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8616 MAIN STREET STE. 4
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-961-9435
Mailing Address - Fax:716-961-9436
Practice Address - Street 1:8616 MAIN STREET STE 4
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-961-9435
Practice Address - Fax:716-961-9436
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073252-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical