National Provider Identifier

Kevin Smith, LCSWR

Kevin Smith, LCSWR is listed in the NPPES registry with a primary specialty of Clinical Social Worker in East Amherst, NY and a listed phone number of (716) 842-6713.

NPI 1770644411East Amherst, NYClinical Social Worker

Profile Overview

NPI
1770644411
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
December 13, 2006
Last Updated
June 20, 2022

Practice Location

  • 88 Breezewood Cmn
  • East Amherst, NY 14051-1425

Phone: (716) 842-6713

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1770644411
Entity Type
Individual
Last Name
Smith
First Name
Kevin
Credential
LCSWR
Mailing Street Address
88 Breezewood Cmn
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1425
Mailing Country
US
Mailing Phone
(716) 276-8457
Practice Street Address
88 Breezewood Cmn
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1425
Practice Country
US
Practice Phone
(716) 842-6713
Practice Fax
(716) 842-0988
Enumeration Date
December 13, 2006
Last Updated
June 20, 2022
Sex
Male
Sole Proprietor
No
Certification Date
June 20, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)