National Provider Identifier

Kelly A. Prattico, LMSW

Kelly A. Prattico, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Batavia, NY and a listed phone number of (585) 343-0614.

NPI 1083677603Batavia, NYSocial Worker

Profile Overview

NPI
1083677603
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 07, 2006
Last Updated
July 08, 2007

Practice Location

  • 25 Liberty St
  • Suite 7
  • Batavia, NY 14020-3246

Phone: (585) 343-0614

Mailing Address

  • 525 Washington St
  • Managed Care Dept.
  • Buffalo, NY 14203-1711

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1083677603
Entity Type
Individual
Last Name
Prattico
First Name
Kelly
Middle Name
A.
Name Prefix
MS.
Credential
LMSW
Mailing Street Address
525 Washington St
Mailing Address Line 2
Managed Care Dept.
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1711
Mailing Country
US
Mailing Phone
(716) 856-4494
Mailing Fax
(716) 842-1277
Practice Street Address
25 Liberty St
Practice Address Line 2
Suite 7
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-3246
Practice Country
US
Practice Phone
(585) 343-0614
Practice Fax
(585) 344-3868
Enumeration Date
April 07, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)
Other Identifiers
160743251-40 (NY, Prism), 00030241501 (NY, Univera)