Provider Demographics
NPI:1023124815
Name:MARSCHNER, FREDERICK (LCSWR)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:
Last Name:MARSCHNER
Suffix:
Gender:M
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4511 HARLEM RD., SUITE 4
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3822
Mailing Address - Country:US
Mailing Address - Phone:716-698-0196
Mailing Address - Fax:716-422-1140
Practice Address - Street 1:4511 HARLEM RD. SUITE 4
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3822
Practice Address - Country:US
Practice Address - Phone:716-698-0196
Practice Address - Fax:716-422-1140
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072892104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000881000000OtherCOMMUNITY BLUE
NY000881000000OtherCOMMUNITY BLUE
NYRB0251Medicare ID - Type Unspecified