National Provider Identifier

Krista Rose Coleman-Gorski, LCSW

Krista Rose Coleman-Gorski, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 835-4011.

NPI 1497282438Buffalo, NYClinical Social Worker

Profile Overview

NPI
1497282438
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 22, 2017
Last Updated
September 25, 2020

Practice Location

  • 3350 Main St
  • Buffalo, NY 14214-1316

Phone: (716) 835-4011

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1497282438
Entity Type
Individual
Last Name
Coleman-Gorski
First Name
Krista
Middle Name
Rose
Credential
LCSW
Provider Other Last Name
Coleman
Provider Other First Name
Krista
Provider Other Middle Name
Rose
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
3350 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1316
Mailing Country
US
Mailing Phone
(716) 835-4011
Mailing Fax
(716) 819-3430
Practice Street Address
3350 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1316
Practice Country
US
Practice Phone
(716) 835-4011
Practice Fax
(168) 350-2537
Enumeration Date
May 22, 2017
Last Updated
September 25, 2020
Sex
Female
Sole Proprietor
No
Certification Date
September 25, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)