National Provider Identifier

Kathryn Mae Miller-Procknal, LCSW

Kathryn Mae Miller-Procknal, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Orchard Park, NY and a listed phone number of (716) 882-4357.

NPI 1255802492Orchard Park, NYClinical Social Worker

Profile Overview

NPI
1255802492
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 16, 2018
Last Updated
January 05, 2023

Practice Location

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Phone: (716) 882-4357

Mailing Address

  • 73 Fayette Ave
  • Buffalo, NY 14223-3103

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1255802492
Entity Type
Individual
Last Name
Miller-Procknal
First Name
Kathryn
Middle Name
Mae
Credential
LCSW
Mailing Street Address
73 Fayette Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-3103
Mailing Country
US
Mailing Phone
(716) 697-1828
Practice Street Address
227 Thorn Ave
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2600
Practice Country
US
Practice Phone
(716) 882-4357
Enumeration Date
December 16, 2018
Last Updated
January 05, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 05, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)