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

Individual provider Clinical Social Worker · NPI 1194921999

Mrs. Maryann Antonelli, LCSWR is a Clinical Social Worker in Buffalo, New York. Graduated from State University of New York at Buffalo School of Medicine in 1990, 36 years ago. Licensed in New York.

Years since qualifying
36
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

1300 Niagara St
Buffalo, NY 14213-1503
Phone: (716) 882-5959
Fax: (716) 882-9277
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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 R046290-1 (NY)

Record details

NPI number1194921999
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated

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