National Provider Identifier
Kevin M Kelly, LCSW
Kevin M Kelly, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 883-5344.
Profile Overview
- NPI
- 1740330992
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 11, 2007
- Last Updated
- January 05, 2011
Practice Location
- 951 Niagara Street
- Drug & Alcohol Abuse Service Program
- Buffalo, NY 14213
Phone: (716) 883-5344
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1740330992
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Kevin
- Middle Name
- M
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 951 Niagara Street
- Mailing Address Line 2
- Drug & Alcohol Abuse Service Program
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213
- Mailing Country
- US
- Mailing Phone
- (716) 883-5344
- Mailing Fax
- (716) 884-1758
- Practice Street Address
- 951 Niagara Street
- Practice Address Line 2
- Drug & Alcohol Abuse Service Program
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (716) 883-5344
- Practice Fax
- (716) 884-1758
- Enumeration Date
- January 11, 2007
- Last Updated
- January 05, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)