National Provider Identifier
Kelly Polidori, LMSW
Kelly Polidori, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 733-7661.
Profile Overview
- NPI
- 1679231294
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 01, 2021
- Last Updated
- December 01, 2021
Practice Location
- 1149 Sullivan St
- Elmira, NY 14901-1670
Phone: (607) 733-7661
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1679231294
- Entity Type
- Individual
- Last Name
- Polidori
- First Name
- Kelly
- Credential
- LMSW
- Mailing Street Address
- 1149 Sullivan St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1670
- Mailing Country
- US
- Mailing Phone
- (607) 733-7661
- Practice Street Address
- 1149 Sullivan St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-1670
- Practice Country
- US
- Practice Phone
- (607) 733-7661
- Enumeration Date
- December 01, 2021
- Last Updated
- December 01, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 01, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)