National Provider Identifier
Melissa Marie Keitz, LCSW-R
Melissa Marie Keitz, 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 (716) 835-4011.
Profile Overview
- NPI
- 1164758918
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 29, 2009
- Last Updated
- June 01, 2021
Practice Location
- 3350 Main St
- Buffalo, NY 14214-1316
Phone: (716) 835-4011
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1164758918
- Entity Type
- Individual
- Last Name
- Keitz
- First Name
- Melissa
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 3350 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1316
- Mailing Country
- US
- Mailing Phone
- (716) 835-4011
- Mailing Fax
- (716) 835-0253
- Practice Street Address
- 3350 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1316
- Practice Country
- US
- Practice Phone
- (716) 835-4011
- Practice Fax
- (716) 835-0253
- Enumeration Date
- October 29, 2009
- Last Updated
- June 01, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 01, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)