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MS. CARLY JEAN HATHAWAY MSW
NPI 1669021317
Counselor - Mental Health in Buffalo, NY

Active since September 05, 2019
1131 BROADWAY ST, BUFFALO, NY 14212(716) 895-6700(716) 896-7717 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Carly Jean Hathaway Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CARLY JEAN HATHAWAY MSW (NPI 1669021317) is an individual mental health provider in Buffalo, New York and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1669021317
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CARLY JEAN HATHAWAYCredential: MSW
Location Address1131 BROADWAY STBuffalo, NY 14212-1501
Mailing Address1131 Broadway StBuffalo, NY 14212-1501 · (716) 895-6700 · Fax (716) 896-7717
Phone(716) 895-6700
Fax(716) 896-7717
Sole ProprietorNo
Enumeration DateSeptember 5, 2019
✔ NPI 1669021317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1131 BROADWAY ST, Buffalo, NY 14212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER EVANS LMHC
Counselor (Mental Health)
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 895-6700
CHRISTINA DELLANEVE
Counselor
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 895-6700
TAURIE ROMAN
Counselor
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350
MCKENNA STARUCH MSW
Social Worker
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 895-6700
JAILYN UTLEY LMSW
Counselor (Mental Health)
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350
RHONDA GORDON
Counselor (Addiction (Substance Use Disorder))
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350
MICHAEL KATILUS BS
Social Worker
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7422
ANGELA MARASCO LMHC-P
Counselor (Mental Health)
1131 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 896-7350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Hathaway's NPI number?

The NPI number for Carly Hathaway is 1669021317. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Carly Hathaway located?

Carly Hathaway practices at 1131 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 895-6700.

What is Carly Hathaway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Carly Hathaway was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.