National Provider Identifier
Kyle Donovan Kucmierowski, LCSW
Kyle Donovan Kucmierowski, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Horseheads, NY and a listed phone number of (607) 654-0790.
Profile Overview
- NPI
- 1568027357
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 07, 2019
- Last Updated
- May 03, 2024
Practice Location
- 301 W Broad St
- Horseheads, NY 14845-2303
Phone: (607) 654-0790
Mailing Address
- 407 W Water St
- Elmira, NY 14905-2562
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1568027357
- Entity Type
- Individual
- Last Name
- Kucmierowski
- First Name
- Kyle
- Middle Name
- Donovan
- Credential
- LCSW
- Mailing Street Address
- 407 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2562
- Mailing Country
- US
- Mailing Phone
- (607) 734-0980
- Mailing Fax
- (607) 734-0981
- Practice Street Address
- 301 W Broad St
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-2303
- Practice Country
- US
- Practice Phone
- (607) 654-0790
- Practice Fax
- (631) 350-0396
- Enumeration Date
- May 07, 2019
- Last Updated
- May 03, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)