Kairos Counseling Lcsw PLLC
Social Worker, Clinical in Grand Island, NY. Organization (NPI-2).
NPI number1801640503
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1801640503
- Entity type
- Organization (NPI-2)
- Legal business name
- Kairos Counseling Lcsw PLLC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
1870 Whitehaven RdGrand Island, NY 14072-1804
Phone 716-453-4839
Mailing address
1870 Whitehaven RdGrand Island, NY 14072-1804
Phone 716-453-4839
Authorized official
Samantha Zimmermann
Licensed Clinical Social Worker
7164534839
Is something wrong?
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