Daniel Kolesnikov, LCSW R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0348821 Issued in NY

Practice address

57 E Fulton Street
Gloversville, NY 12078

Phone

(518) 773-3531

Fax

(518) 773-9103

NPI assigned

Mar 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760443113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4497 RYNEX CORNERS ROAD",
            "city": "PATTERSONVILLE",
            "state": "NY",
            "postal_code": "12137",
            "telephone_number": "518-887-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E FULTON STREET",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "12078",
            "telephone_number": "518-773-3531",
            "fax_number": "518-773-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLESNIKOV",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0348821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwain O King, LPN
• Kathleen Ann Kissane, RN, CLC, IBCLC
• Jessica Klingler
• Rachel Anna Knaust, DDS
• Tracy Lynn Knecht, RN
• Kathleen Ann Kosinski, PT
• Nanette Krasher
• Nicole Lynn Krawczeski, PT
• Aubrey Kruger, R.D., C.D.N
• Robin Lee Joeleen La Port, MSED

• Clinical Social Worker in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.