Individual provider · Type 1 NPI
Mathew David Kilgore, LCSW
School Social Worker · Fairport, NY
NPI number
1265716591
Active
Practice location
33 Sugarmills Cir
Fairport, NY 14450-8761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | R-0441631 (NY) |
| School Social Worker Primary | 1041S0200X | R-0441631 (NY) |
School Social Worker: Definition to come...
Other school social worker providers in Fairport
About NPI 1265716591
Mathew David Kilgore, LCSW's National Provider Identifier is 1265716591, issued on Oct 5, 2011. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Fairport, NY. The record was last updated on Oct 5, 2011.