National Provider Identifier

Matthew Andrew Kawiak, D.MIN., LCSW

Matthew Andrew Kawiak, D.MIN., LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 586-8650.

NPI 1457374167Rochester, NYClinical Social Worker

Profile Overview

NPI
1457374167
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 625 Panorama Trl
  • Bldg 1
  • Rochester, NY 14625-2404

Phone: (585) 586-8650

Mailing Address

  • 625 Panorama Trail
  • Bldg 1
  • Rochester, NY 14625

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1457374167
Entity Type
Individual
Last Name
Kawiak
First Name
Matthew
Middle Name
Andrew
Name Prefix
Dr.
Credential
D.MIN., LCSW
Mailing Street Address
625 Panorama Trail
Mailing Address Line 2
Bldg 1
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625
Mailing Country
US
Mailing Phone
(585) 586-8650
Mailing Fax
(585) 387-0516
Practice Street Address
625 Panorama Trl
Practice Address Line 2
Bldg 1
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2404
Practice Country
US
Practice Phone
(585) 586-8650
Practice Fax
(585) 387-0516
Enumeration Date
July 25, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
R038598-1 (NY, Lcsw)