Komenda, Mariah Lynn

Komenda, Mariah Lynn is an individual health care provider with primary practice located at 355 Central Ave , Fredonia NY 14063-1132. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Komenda, Mariah Lynn can be contacted via phone (716) 672-6117.

Contact Information

Primary practice address
355 Central Ave Fredonia NY 14063-1132
Phone: (716) 672-6117
Fax: (716) 672-6120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 72 095392 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088253 New York

Profile Details

NPI number 1770967804
LBN Legal business name Komenda, Mariah Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2015
Last updated Apr 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers