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WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC

Company Details

Name: WESTERN NEW YORK LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Jan 2007 (18 years ago)
Entity Number: 3465021
ZIP code: 14201
County: Erie
Place of Formation: New York
Address: 111 PORTER AVENUE 267D, BUFFALO, NY, United States, 14201

DOS Process Agent

Name Role Address
SHIRLEY MAZOUREK DOS Process Agent 111 PORTER AVENUE 267D, BUFFALO, NY, United States, 14201

National Provider Identifier

NPI Number:
1316648710
Certification Date:
2023-03-13

Authorized Person:

Name:
SHIRLEY B. MAZOUREK
Role:
OWNER/FOUNDER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
070119000911 2007-01-19 ARTICLES OF ORGANIZATION 2007-01-19

Date of last update: 28 Mar 2025

Sources: New York Secretary of State