MRS. ALEXIS LUTTRELL-BROWN (NPI# 1619264843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619264843 |
| Entity Type | Individual |
| Full Name | MRS. ALEXIS LUTTRELL-BROWN |
| Other Name | MISS ALEXIS LUTTRELL |
| Practice Address |
2128 Elmwood Ave Buffalo NY 14207-1910 |
| Mailing Address |
625 Delaware Ave Ste 204 Buffalo NY 14202-1007 |
| Practice Telephone | 7168744500 |
| Mailing Telephone | 7168823151 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2018-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | 085068-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01465154 | 05 |
| Street Address |
2128 ELMWOOD AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14207-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529386 | Evelyn A Kazinski | Nutritionist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2006-02-28 |
| 1912513995 | Karen Battaglia | Psychologist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2020-09-16 |
| 1598303489 | Katie Lynn Fernandes | Physical Therapy Assistant | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2019-12-11 |
| 1396387353 | Rhianna Bethany Threat | Occupational Therapist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2019-10-11 |
| 1679127070 | Brittany Rowan | Physical Therapy Assistant | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2019-07-25 |
| 1033682935 | James Conti | Physical Therapy Assistant | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2019-01-03 |
| 1174038616 | Nicole K Houck | Occupational Therapist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2017-12-06 |
| 1528579505 | Charlene Kalosza | Physical Therapist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2017-10-18 |
| 1720507148 | Amanda Serafini | Physical Therapist | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2017-09-18 |
| 1245785559 | Anna Moreland | Physical Therapy Assistant | 2128 Elmwood Ave, Buffalo, NY 14207-1910 | 2016-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063981595 | Shannon Nicole Johns | Doula | 191 Rebecca Park, Buffalo, NY 14207 | 2018-11-14 |
| 1225567654 | Sky Blue Transportation | Taxi | 276 Esser Avenue, Buffalo, NY 14207 | 2017-06-08 |
| 1497171706 | Armida Orozco | Pathology | 219 Brynt St, Woman & Children Hosp of Buffalo, Buffalo, NY 14207 | 2014-03-11 |
| 1508208828 | Kyla Rae Marte | Obstetrics & Gynecology | 155 Lawn Ave Ste 100, Buffalo, NY 14207 | 2013-07-28 |
| 1407107121 | Britney Sade Caldwell | Licensed Practical Nurse | 84 Chadduck Ave, Buffalo, NY 14207 | 2012-09-20 |
| 1275862088 | Aspire Family Dental, Pllc | Dentist | 476 Hertel Avenue, Buffalo, NY 14207 | 2009-12-08 |
| 1982834503 | Rebecca Lynn Blenski | Pharmacist | 801 Tonawanda Street, Buffalo, NY 14207 | 2009-07-16 |
| 1790920478 | Aspire Family Dental, Pllc | Dentist | 484 Ontario Street, Buffalo, NY 14207 | 2008-12-09 |
| 1447417746 | Michele Marie Taschetta | Licensed Practical Nurse | 79 Eckhert St, Buffalo, NY 14207 | 2008-05-22 |
| 1184831844 | Anacleto Jr Apostol Mangaser | Preventive Medicine | 1 Sheridan Drive, Dupont Yerkes Medical Dept, Buffalo, NY 14207 | 2007-05-16 |
| Find all providers in zip 14207 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670064 | Brenna Patricia Vermilyea | Social Worker | 786 Columbus Pkwy Apt 5, Buffalo, NY 14213-2456 | 2020-08-17 |
| 1790309136 | Victoria Anne Rader | Social Worker | 95 Humboldt Pkwy, Buffalo, NY 14214-2604 | 2020-06-01 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1760941819 | Sicily Bonacci | Social Worker | 19 Linwood Ter, Buffalo, NY 14209-1212 | 2019-03-18 |
| 1558820142 | Laurie Farinacci | Social Worker | 183 Highland Ave, Buffalo, NY 14222-1842 | 2019-03-14 |
| 1871059667 | Michael Scott Seeley | Social Worker | 97 N Lobban Ave Lot 3, Buffalo, WY 82834-1933 | 2019-02-16 |
| 1043787195 | Kayla Napierala | Social Worker | 77 Broadway St, Buffalo, NY 14203-1642 | 2018-10-26 |
| 1063989408 | Kenzi Coon | Social Worker | 944 Lafayette Ave Apt 1, Buffalo, NY 14209-1224 | 2018-10-24 |
| 1093221293 | Diane Sherman | Social Worker | 70 Jewett Pkwy, Buffalo, NY 14214-2322 | 2017-12-26 |
| 1548787476 | Caitlin Alyssa Shriber | Social Worker | 430 Niagara St # Sr, Buffalo, NY 14201-1886 | 2017-08-22 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.