Individual provider Active NPI

Christopher Edward Kijowski, LCSW-R

  • Clinical Social Worker
  • North Tonawanda, NY
National Provider Identifier
1710113436
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074433 Issued in NY
Practice address
84 Sweeney Street
Site 5C
North Tonawanda, NY 14120-5822
Phone
(716) 213-3938
Fax
(716) 794-1700
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 074433 NY Primary

Addresses

Primary practice location

84 Sweeney Street
Site 5C
North Tonawanda, NY 14120-5822

Mailing address

84 Sweeney St
North Tonawanda, NY 14120-5822
Phone (716) 213-3938

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
I20090723000251 NY Practitioner - Clinical Social Worker 0840342762 Reassigns benefits to 2 organizations
Practice locations: North Tonawanda, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

84 Sweeney St
Suite C5
North Tonawanda, NY 14120-5822
Phone (716) 213-3938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074433NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Niagara CurrentSince Sep 17, 2016 Accepting new patients
Namaste Counseling & Wellness Incorporated Clinical CurrentSince Dec 3, 2025 Accepting new patients
County of Niagara CurrentSince Sep 17, 2016 Accepting new patients
County of Niagara Current Accepting new patients

Locations

5467 Upper Mountain Rd
#200
Lockport, NY 14094
Phone (716) 439-7400

1001 11th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 278-1900

84 Sweeney St
Ste C5
North Tonawanda, NY 14120
Phone (716) 213-3938

Organizations & group practices 4

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1710113436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SWEENEY ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-213-3938",
            "fax_number": "716-794-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SWEENEY STREET",
            "address_2": "SITE 5C",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-213-3938",
            "fax_number": "716-794-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJOWSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "EDWARD",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.