Provider Demographics
NPI:1982682407
Name:HONESS-ONDREY, SALI (LCSW)
Entity type:Individual
Prefix:MS
First Name:SALI
Middle Name:
Last Name:HONESS-ONDREY
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 1:2130 S MAPLE AVE
Mailing Address - Street 2:P O BOX 444
Mailing Address - City:ASHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14710-9604
Mailing Address - Country:US
Mailing Address - Phone:716-763-0830
Mailing Address - Fax:716-763-0830
Practice Address - Street 1:2130 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ASHVILLE
Practice Address - State:NY
Practice Address - Zip Code:14710-9604
Practice Address - Country:US
Practice Address - Phone:716-763-0830
Practice Address - Fax:716-763-0830
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038528-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00052300001OtherUNIVERA HEALTHCARE
NY02274537Medicaid
NY6211160OtherINDEPENDENT HEALTH
NY11515160OtherCAQH
NY000526151001OtherBLUE CROSS/BLUE SHIELD