Individual provider · Type 1 NPI

Mariah Lynn Komenda, LCSW

Clinical Social Worker · Fredonia, NY

NPI number 1770967804 Active

Practice location

355 Central Ave
Fredonia, NY 14063-1132

Fax (716) 672-6120

Mailing address

246 Waverly St
Springville, NY 14141-1060

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X72 095392 (NY)
Clinical Social Worker Primary 1041C0700X088253 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1770967804

Mariah Lynn Komenda, LCSW's National Provider Identifier is 1770967804, issued on Jul 18, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fredonia, NY. The record was last updated on Apr 15, 2022.