Provider Demographics
NPI:1265709372
Name:FRONTIER SCHOOL DISTRICT
Entity type:Organization
Organization Name:FRONTIER SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LAETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:716-926-1730
Mailing Address - Street 1:2751 AMSDELL RD
Mailing Address - Street 2:COUNSELING CENTER 101G
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5803
Mailing Address - Country:US
Mailing Address - Phone:716-926-1730
Mailing Address - Fax:716-926-1788
Practice Address - Street 1:2751 AMSDELL RD
Practice Address - Street 2:COUNSELING CENTER 101G
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5803
Practice Address - Country:US
Practice Address - Phone:716-926-1730
Practice Address - Fax:716-926-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0390341251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)