Provider Demographics
NPI:1306891353
Name:WRONSKI, LUCIA CAVAIUOLO (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:LUCIA
Middle Name:CAVAIUOLO
Last Name:WRONSKI
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5626 KECK RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-9307
Mailing Address - Country:US
Mailing Address - Phone:716-471-9874
Mailing Address - Fax:
Practice Address - Street 1:5626 KECK RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-9307
Practice Address - Country:US
Practice Address - Phone:716-471-9874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074274-R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical