National Provider Identifier

Kelly Kreider

Kelly Kreider is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (503) 428-6955.

NPI 1902610892Rochester, NYClinical Social Worker

Profile Overview

NPI
1902610892
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 03, 2025
Last Updated
February 03, 2025

Practice Location

  • 2510 Chili Ave
  • Rochester, NY 14624-3334

Phone: (503) 428-6955

Mailing Address

  • 2150 Chili Ave
  • Rochester, NY 14624-3453

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1902610892
Entity Type
Individual
Last Name
Kreider
First Name
Kelly
Mailing Street Address
2150 Chili Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-3453
Mailing Country
US
Practice Street Address
2510 Chili Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-3334
Practice Country
US
Practice Phone
(503) 428-6955
Enumeration Date
February 03, 2025
Last Updated
February 03, 2025
Sex
Female
Sole Proprietor
No
Certification Date
February 03, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)