National Provider Identifier

Jeremy Vincent Krause, LMSW

Jeremy Vincent Krause, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (617) 869-0527.

NPI 1083939920Buffalo, NYSocial Worker

Profile Overview

NPI
1083939920
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
April 04, 2010
Last Updated
April 05, 2023

Practice Location

  • 30 Alpine Pl Apt 214
  • Buffalo, NY 14225-3979

Phone: (617) 869-0527

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1083939920
Entity Type
Individual
Last Name
Krause
First Name
Jeremy
Middle Name
Vincent
Name Prefix
Mr.
Credential
LMSW
Mailing Street Address
30 Alpine Pl Apt 214
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14225-3979
Mailing Country
US
Mailing Phone
(617) 869-0527
Practice Street Address
30 Alpine Pl Apt 214
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-3979
Practice Country
US
Practice Phone
(617) 869-0527
Enumeration Date
April 04, 2010
Last Updated
April 05, 2023
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
April 05, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)