Provider Demographics
NPI:1447338868
Name:CLINE-TARBELL, WENDY (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:CLINE-TARBELL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 WEHRLE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7383
Mailing Address - Country:US
Mailing Address - Phone:716-908-9518
Mailing Address - Fax:716-633-1280
Practice Address - Street 1:80 GOODRICH ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1005
Practice Address - Country:US
Practice Address - Phone:716-859-1507
Practice Address - Fax:716-859-1505
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0315161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical