National Provider Identifier

Kevin Burgess, LCSW

Kevin Burgess, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Niagara Falls, NY and a listed phone number of (716) 278-5860.

NPI 1538584909Niagara Falls, NYClinical Social Worker

Profile Overview

NPI
1538584909
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 21, 2014
Last Updated
August 15, 2024

Practice Location

  • 630 66Th St
  • Niagara Falls, NY 14304-2212

Phone: (716) 278-5860

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1538584909
Entity Type
Individual
Last Name
Burgess
First Name
Kevin
Name Prefix
Mr.
Credential
LCSW
Mailing Street Address
630 66Th St
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-2212
Mailing Country
US
Mailing Phone
(716) 278-5860
Practice Street Address
630 66Th St
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14304-2212
Practice Country
US
Practice Phone
(716) 278-5860
Enumeration Date
February 21, 2014
Last Updated
August 15, 2024
Sex
Male
Sole Proprietor
No
Certification Date
August 15, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)