Provider Demographics
NPI:1053392159
Name:GIARRIZZO, JANE ELIZABETH (LCSW-R, ACSW, OSW-C)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:GIARRIZZO
Suffix:
Gender:F
Credentials:LCSW-R, ACSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BURWELL DR
Mailing Address - Street 2:
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502-8945
Mailing Address - Country:US
Mailing Address - Phone:585-727-2776
Mailing Address - Fax:
Practice Address - Street 1:21 WILLOW POND WAY
Practice Address - Street 2:SUITE 202
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2687
Practice Address - Country:US
Practice Address - Phone:585-727-2776
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR039836-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO10039836OtherMONROE PLAN
NYPO10039836OtherBLUE CHOIC
NYRC80039836OtherRCIPA
NY02544223Medicaid
NY512230OtherVALUE OPTIONS
NYPO10039836OtherEXCELLUS
NY133004FKOtherPREFERRED CARE
NY7004570OtherAETNA
NYPO10039836OtherVIAHEALTH
NYPO10039836OtherVIAHEALTH
NY7004570OtherAETNA