National Provider Identifier

Keri Rusich, LCSW

Keri Rusich, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (860) 559-5484.

NPI 1720787856Buffalo, NYClinical Social Worker

Profile Overview

NPI
1720787856
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 27, 2023
Last Updated
February 27, 2023

Practice Location

  • 102 Lincoln Pkwy
  • Buffalo, NY 14222-1012

Phone: (860) 559-5484

Mailing Address

  • PO Box 30004
  • Toronto Rpo High Park, Ontario 642
  • CA

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1720787856
Entity Type
Individual
Last Name
Rusich
First Name
Keri
Credential
LCSW
Mailing Street Address
PO Box 30004
Mailing City
Toronto Rpo High Park
Mailing State
Ontario
Mailing ZIP Code
642
Mailing Country
CA
Practice Street Address
102 Lincoln Pkwy
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-1012
Practice Country
US
Practice Phone
(860) 559-5484
Enumeration Date
February 27, 2023
Last Updated
February 27, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
February 22, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)