Individual provider · Type 1 NPI

Keyla Graham Zinteck Fisk, LCSW

Clinical Social Worker · Buffalo, NY

NPI number 1689040859 Active

Practice location

3495 Bailey Ave # 10A
Buffalo, NY 14215-1129

Fax (716) 862-7853

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	087017 (NY)
Social Worker	104100000X	089064 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1689040859

Keyla Graham Zinteck Fisk, LCSW's National Provider Identifier is 1689040859, issued on Aug 11, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Buffalo, NY. The record was last updated on Jan 4, 2019.