National Provider Identifier

Kelsey Cretekos

Kelsey Cretekos is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 922-2507.

NPI 1407507874Rochester, NYSocial Worker

Profile Overview

NPI
1407507874
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
January 17, 2022
Last Updated
January 17, 2022

Practice Location

  • 490 E Ridge RD
  • Rochester, NY 14621-1229

Phone: (585) 922-2507

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1407507874
Entity Type
Individual
Last Name
Cretekos
First Name
Kelsey
Name Prefix
Mrs.
Mailing Street Address
490 E Ridge RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-1229
Mailing Country
US
Practice Street Address
490 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1229
Practice Country
US
Practice Phone
(585) 922-2507
Enumeration Date
January 17, 2022
Last Updated
January 17, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
January 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)