National Provider Identifier
Mathew David Kilgore, LCSW
Mathew David Kilgore, LCSW is listed in the NPPES registry with a primary specialty of School Social Worker in Fairport, NY and a listed phone number of (585) 694-0075.
Profile Overview
- NPI
- 1265716591
- Provider Type
- Individual
- Primary Specialty
- School Social Worker
- Enumeration Date
- October 05, 2011
- Last Updated
- October 05, 2011
Practice Location
- 33 Sugarmills Cir
- Fairport, NY 14450-8761
Phone: (585) 694-0075
Specialties
- School Social Worker (1041S0200X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1265716591
- Entity Type
- Individual
- Last Name
- Kilgore
- First Name
- Mathew
- Middle Name
- David
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 33 Sugarmills Cir
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8761
- Mailing Country
- US
- Mailing Phone
- (585) 694-0075
- Practice Street Address
- 33 Sugarmills Cir
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8761
- Practice Country
- US
- Practice Phone
- (585) 694-0075
- Enumeration Date
- October 05, 2011
- Last Updated
- October 05, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Social Worker (1041S0200X), Clinical Social Worker (1041C0700X)