Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jo Gervase, LCSW-R

Individual provider Clinical Social Worker · NPI 1508138777

Mary Jo Gervase, LCSW-R is a Clinical Social Worker in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

311 Woodward Ave
Buffalo, NY 14214-1961
Phone: (716) 838-0614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence RO47007-1 (NY)

Record details

NPI number1508138777
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedFebruary 3, 2012
Last updated in NPPESFebruary 3, 2012

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