National Provider Identifier

Kelsey E. Peterson, LMSW

Kelsey E. Peterson, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Williamsville, NY and a listed phone number of (716) 632-5450.

NPI 1336733179Williamsville, NYClinical Social Worker

Profile Overview

NPI
1336733179
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 23, 2021
Last Updated
February 23, 2021

Practice Location

  • 531 Farber Lakes Dr Ste 201
  • Williamsville, NY 14221-5773

Phone: (716) 632-5450

Mailing Address

  • 119 Northcrest Ave
  • Buffalo, NY 14225-3433

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1336733179
Entity Type
Individual
Last Name
Peterson
First Name
Kelsey
Middle Name
E.
Credential
LMSW
Mailing Street Address
119 Northcrest Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14225-3433
Mailing Country
US
Mailing Phone
(585) 967-5553
Practice Street Address
531 Farber Lakes Dr Ste 201
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5773
Practice Country
US
Practice Phone
(716) 632-5450
Practice Fax
(716) 634-1098
Enumeration Date
February 23, 2021
Last Updated
February 23, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 23, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)