National Provider Identifier

Katherine Nicosia, LCSW, CASAC

Katherine Nicosia, LCSW, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7560.

NPI 1063682011Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1063682011
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 05, 2008
Last Updated
March 05, 2008

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7560

Mailing Address

  • 76 Manorshire Dr Apt 3
  • Fairport, NY 14450-3430

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1063682011
Entity Type
Individual
Last Name
Nicosia
First Name
Katherine
Name Prefix
MS.
Credential
LCSW, CASAC
Mailing Street Address
76 Manorshire Dr Apt 3
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3430
Mailing Country
US
Mailing Phone
(585) 662-3747
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7560
Enumeration Date
March 05, 2008
Last Updated
March 05, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)