Active NPI
Kathy A Wick, LCSW
- Clinical Social Worker
- Buffalo, NY
National Provider Identifier
1932425519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P058650-1
- Practice address
- 737 Delaware Ave
Buffalo, NY 14209-2260 - Phone
- (716) 885-9894
- Fax
- (716) 885-9897
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P058650-1 | NY | Primary |
Addresses
Primary practice location
737 Delaware Ave
Buffalo, NY 14209-2260
Mailing address
737 Delaware Ave
Buffalo, NY 14209-2260
Phone (716) 885-9894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P058650-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270684800000",
"number": "1932425519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092260",
"telephone_number": "716-885-9894",
"fax_number": "716-885-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092260",
"telephone_number": "716-885-9894",
"fax_number": "716-885-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICK",
"first_name": "KATHY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2010-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P058650-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.