Kelly Kreider

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126507 Issued in NY

Practice address

2510 Chili Ave
Rochester, NY 14624-3334

Phone

(503) 428-6955

NPI assigned

Feb 3, 2025

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1902610892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CHILI AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 CHILI AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243334",
            "telephone_number": "503-428-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "126507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyudmila Kravchuk
• Dolores Krebs, NP
• Marcia L Krebs, M.D.
• Jennifer Lin Krech, OD
• Sonja Kreckel, NP
• Britton Christopher Thomas Kreiner, M.D.
• Richard E Kreipe, MD
• Margaret Jeanne Kreiss, LMHC
• Natalie Kremer, PHARM D
• Irina Kreminskiy, FNP

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, 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 Feb 3, 2025; 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.