National Provider Identifier

Gillian June Small-Kota, LCSW

Gillian June Small-Kota, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Corning, NY and a listed phone number of (315) 420-6528.

NPI 1508638909Corning, NYClinical Social Worker

Profile Overview

NPI
1508638909
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 27, 2023
Last Updated
October 27, 2023

Practice Location

  • 10 Catherine Dr
  • Corning, NY 14830-3756

Phone: (315) 420-6528

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1508638909
Entity Type
Individual
Last Name
Small-Kota
First Name
Gillian
Middle Name
June
Credential
LCSW
Mailing Street Address
10 Catherine Dr
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-3756
Mailing Country
US
Mailing Phone
(315) 420-6528
Practice Street Address
10 Catherine Dr
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-3756
Practice Country
US
Practice Phone
(315) 420-6528
Enumeration Date
October 27, 2023
Last Updated
October 27, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
October 27, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)