Provider Demographics
NPI:1720013469
Name:AKIN, DENISE M (LCSW)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:AKIN
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 1:2821 WEHRLE DR
Mailing Address - Street 2:SUITE 8B
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7386
Mailing Address - Country:US
Mailing Address - Phone:716-308-3507
Mailing Address - Fax:716-542-4551
Practice Address - Street 1:2821 WEHRLE DR
Practice Address - Street 2:SUITE 8B
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7386
Practice Address - Country:US
Practice Address - Phone:716-308-3507
Practice Address - Fax:716-542-4551
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR054294-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S58343Medicare UPIN
NYRA6546Medicare ID - Type Unspecified