Kelly Gorkiewicz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2924 Main St
Buffalo, NY 14214-1720

Phone

(716) 837-0995

NPI assigned

Jan 26, 2011

Last updated

Mar 2, 2020By the provider in NPPES

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

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Bestself Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1508868407
  Medicare reassignment Care Compare group NPD
• Kelly Gorkiewicz LCSW PLLC

  • Clinical Social Worker
  • Hamburg, NY
  • NPI 1760295281
  NPD Authorized official
• Bestself Behavioral Health, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orchard Park, NY
  • NPI 1891907507
  NPD
• Child and Adolescent Treatment Services Inc

  • Mental Health Counselor
  • Buffalo, NY
  • NPI 1518019348
  NPD (past)
• Main Buffalo Pediatrics LLP

  • Legal Medicine
  • Buffalo, NY
  • NPI 1194876300
  NPD (past)
• Medical Health Associates of Western New York PLLC

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1013453273
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1942506787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141720",
            "telephone_number": "716-837-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1487 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091723",
            "country_code": "US",
            "telephone_number": "716-881-2405",
            "fax_number": "716-881-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORKIEWICZ",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgorkiewicz@mainpeds.com",
            "affiliation": "N",
            "address_1": "2924 Main St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142141720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marisa Marie Gore, LMHC
• Royaltee Royannah Gore, RN
• Raahkeba Goree, RN
• Nikolet Gorgiz
• Theresa Ann Gorino, RN
• Martin Gorkiewicz
• Emily Catherine Gorman, RD, CDN
• Lindsey Nicole Gorman
• Casey Gormley, CRNP
• Allison Gorski

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, 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 Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.