Individual provider Active NPI

Kelly Denise Dumas, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1356632756
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082583 Issued in NY
Practice address
3620 Harlem Rd Ste 15
Buffalo, NY 14215-2042
Phone
(716) 936-7556
Fax
(716) 204-7750
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082583 NY Primary

Addresses

Primary practice location

3620 Harlem Rd Ste 15
Buffalo, NY 14215-2042

Mailing address

PO Box 1880
Cheektowaga, NY 14225-8880
Phone (716) 936-7556

Other names 1

  • Kelly Denise Whitman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504002124 NY Practitioner - Clinical Social Worker 2860711405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Dumas, LCSW, PLLC Clinical CurrentSince May 25, 2024 Accepting new patients
Dumas R.I.S.E. Providers, Inc Clinical CurrentSince Jun 23, 2025 Accepting new patients

Locations

3620 Harlem Rd
Ste 15
Buffalo, NY 14215
Phone (716) 936-7556

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1356632756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1880",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142258880",
            "telephone_number": "716-936-7556",
            "fax_number": "716-204-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 HARLEM RD STE 15",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152042",
            "telephone_number": "716-936-7556",
            "fax_number": "716-204-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WHITMAN",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.