MS. SHIRLEY MAZOUREK


Address: 1010 Main Street, Ecmc Outpatient Clinic, Buffalo, NY 14202
Phone: 7168981675

MS. SHIRLEY MAZOUREK (NPI# 1760545834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760545834
Entity Type Individual
Full Name MS. SHIRLEY MAZOUREK
Credential MSW, LCSW-R
Practice Address 1010 Main Street
Ecmc Outpatient Clinic
Buffalo
NY 14202
Practice Telephone 7168981675
Practice Fax Number 7168981311
Mailing Telephone 7168981675
Mailing Fax Number 7168981311
Enumeration Date 2006-12-19
Last Update Date 2014-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
074963 NY Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 0073074963 05

Office Location

Street Address 1010 MAIN STREET
ECMC OUTPATIENT CLINIC
City BUFFALO
State NY
Zip Code 14202

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NPI Name Taxonomy Address Enumeration
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1962022483 Autumn Marie Hayes I Counselor 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 2020-04-24
1861012742 Natasha Qutab Student in an Organized Health Care Education/Training Program Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 2020-04-21
1396232245 Wood Dental LLC Dentist 564 Franklin Street, Buffalo, NY 14202 2018-04-17
1083130728 Lydia Heeeun Doublestein Advanced Practice Midwife 367 Delaware Ave, Buffalo, NY 14202 2017-08-15
1356861652 Michelle Cheesman Speech-Language Pathologist 801 City Hall, Buffalo, NY 14202 2017-06-27
1275082075 Tempresst Nycole Batts Ravenell Registered Nurse 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 2016-09-22
1972974764 Tiffany Tyran Registered Nurse 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 2015-10-19
1487044368 Katherine Jeffries-coppola Registered Nurse 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 2015-01-29
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841804713 Matthew A Tice Social Worker 50 Wyoming Ave, Buffalo, NY 14215-4022 2020-09-08
1700404621 Matthew H Davis Lcsw, Pllc Social Worker 90 Sylvan Pkwy, Buffalo, NY 14228-1109 2020-07-07
1093332496 Sarah Michelle Karpinski Social Worker 28 Parkview Ter, Buffalo, NY 14225-4010 2020-07-01
1558987610 Lianna Kay Zullich Social Worker 70 Barker Street, Buffalo, NY 14209-2013 2020-06-24
1437787348 Nina Marie Vandette Social Worker 221 Sundown Trl, Buffalo, NY 14221-2201 2020-03-28
1982230744 Jess Nowak Jr. Social Worker 102 Marty Dr Ste 2, Buffalo, MN 55313-9345 2020-03-12
1639730377 Eric Joseph Plotar Social Worker 975 Hertel Ave, Buffalo, NY 14216-2627 2019-06-24
1528531084 Kimberly Girdlestone Social Worker 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 2019-01-08
1326518416 Kayla Marie Rogers Social Worker 131 Dewitt St, Buffalo, NY 14213-1313 2018-11-30
1376073668 Anna Shurmatz L.L.C. Social Worker 2495 Main St Ste 418, Buffalo, NY 14214-2154 2017-06-19
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Competitor

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City BUFFALO
Zip Code 14202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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