Provider Demographics
NPI:1043497092
Name:SALZER, LYNNE M (LMSW)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:M
Last Name:SALZER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 BAILEY AVE
Mailing Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS 10TH FLOOR
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1199
Mailing Address - Country:US
Mailing Address - Phone:716-485-7218
Mailing Address - Fax:
Practice Address - Street 1:890 EAST SECOND STREET
Practice Address - Street 2:THE RESOURCE CENTER
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14201
Practice Address - Country:US
Practice Address - Phone:716-485-7218
Practice Address - Fax:716-661-1487
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72 068413104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker