National Provider Identifier
Kira Lallas, LCSW
Kira Lallas, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 592-5807.
Profile Overview
- NPI
- 1881016392
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 17, 2014
- Last Updated
- January 17, 2014
Practice Location
- 110 N Cayuga St
- Ithaca, NY 14850-4326
Phone: (607) 592-5807
Mailing Address
- PO Box 983
- Trumansburg, NY 14886-0983
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1881016392
- Entity Type
- Individual
- Last Name
- Lallas
- First Name
- Kira
- Credential
- LCSW
- Mailing Street Address
- PO Box 983
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-0983
- Mailing Country
- US
- Mailing Phone
- (607) 592-5807
- Practice Street Address
- 110 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4326
- Practice Country
- US
- Practice Phone
- (607) 592-5807
- Enumeration Date
- January 17, 2014
- Last Updated
- January 17, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)