National Provider Identifier

Khristopher Decker, LCSW-R

Khristopher Decker, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (715) 512-8132.

NPI 1144326893Buffalo, NYClinical Social Worker

Profile Overview

NPI
1144326893
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 16, 2006
Last Updated
April 16, 2024

Practice Location

  • 712 Main St Apt 410
  • Buffalo, NY 14202-1718

Phone: (715) 512-8132

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1144326893
Entity Type
Individual
Last Name
Decker
First Name
Khristopher
Name Prefix
Mr.
Credential
LCSW-R
Mailing Street Address
712 Main St Apt 410
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1718
Mailing Country
US
Mailing Phone
(716) 512-8132
Practice Street Address
712 Main St Apt 410
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1718
Practice Country
US
Practice Phone
(715) 512-8132
Enumeration Date
September 16, 2006
Last Updated
April 16, 2024
Sex
Male
Sole Proprietor
No
Certification Date
April 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)