Provider Demographics
NPI:1316431299
Name:ADLER, HOWARD BENJAMIN (SOCIAL WORKER LCSW-R)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:BENJAMIN
Last Name:ADLER
Suffix:
Gender:M
Credentials:SOCIAL WORKER LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-1923
Mailing Address - Country:US
Mailing Address - Phone:607-379-0509
Mailing Address - Fax:
Practice Address - Street 1:25 CIRCLE ST STE 201
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1072
Practice Address - Country:US
Practice Address - Phone:585-546-5180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0736421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical