Provider Demographics
NPI:1437869039
Name:NICOLE ELIZABETH WOLASZ LCSW, PLLC
Entity Type:Organization
Organization Name:NICOLE ELIZABETH WOLASZ LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW-R
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WOLASZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:716-228-8205
Mailing Address - Street 1:337 CLEVELAND DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1952
Mailing Address - Country:US
Mailing Address - Phone:716-228-8205
Mailing Address - Fax:716-768-3396
Practice Address - Street 1:337 CLEVELAND DR
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14215-1952
Practice Address - Country:US
Practice Address - Phone:716-228-8205
Practice Address - Fax:716-768-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty