National Provider Identifier
Krista Marie Gascon, LCSW-R
Krista Marie Gascon, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 364-2545.
Profile Overview
- NPI
- 1316241094
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 10, 2011
- Last Updated
- May 04, 2022
Practice Location
- 625 Panorama Trl Ste 210
- Rochester, NY 14625-2408
Phone: (585) 364-2545
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316241094
- Entity Type
- Individual
- Last Name
- Gascon
- First Name
- Krista
- Middle Name
- Marie
- Credential
- LCSW-R
- Provider Other Last Name
- O'Keefe
- Provider Other First Name
- Krista
- Provider Other Middle Name
- Marie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 625 Panorama Trl Ste 210
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-2408
- Mailing Country
- US
- Mailing Phone
- (585) 642-5453
- Mailing Fax
- (585) 267-7001
- Practice Street Address
- 625 Panorama Trl Ste 210
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2408
- Practice Country
- US
- Practice Phone
- (585) 364-2545
- Practice Fax
- (585) 364-2545
- Enumeration Date
- January 10, 2011
- Last Updated
- May 04, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)