National Provider Identifier

Kyleigh Tice, LMSW

Kyleigh Tice, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 394-0530.

NPI 1942945050Canandaigua, NYSocial Worker

Profile Overview

NPI
1942945050
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 03, 2022
Last Updated
May 03, 2022

Practice Location

  • 35 North St
  • Canandaigua, NY 14424-1075

Phone: (585) 394-0530

Mailing Address

  • 120 School St
  • Victor, NY 14564-1132

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1942945050
Entity Type
Individual
Last Name
Tice
First Name
Kyleigh
Credential
LMSW
Mailing Street Address
120 School St
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-1132
Mailing Country
US
Practice Street Address
35 North St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1075
Practice Country
US
Practice Phone
(585) 394-0530
Enumeration Date
May 03, 2022
Last Updated
May 03, 2022
Sex
Female
Sole Proprietor
No
Certification Date
April 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)