Provider Demographics
NPI:1215646559
Name:LITFIN, BRENDA ELAINE (LCSWR)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:ELAINE
Last Name:LITFIN
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:ELAINE
Other - Last Name:LUDWIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6533 AMY LN
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-6675
Mailing Address - Country:US
Mailing Address - Phone:585-503-2931
Mailing Address - Fax:
Practice Address - Street 1:6533 AMY LN
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-6675
Practice Address - Country:US
Practice Address - Phone:585-503-2931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR082901-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical