Ryan Phillip Lavender, MSW
Social Worker, Clinical in Elmira, NY. Individual provider (NPI-1).
NPI number1780977488
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1780977488
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Phillip Lavender
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2011
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 072600 | NY | Yes |
Practice location
100 Washington StElmira, NY 14901-2849
Phone 607-216-6826
Mailing address
100 Washington StElmira, NY 14901-2898
Phone 607-216-6826
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