Provider Demographics
NPI:1952647968
Name:CHMIELOWIEC, KAITLYN JEAN (LMSW)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:JEAN
Last Name:CHMIELOWIEC
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:JEAN
Other - Last Name:STAROWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:227 THORN AVE
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2600
Mailing Address - Country:US
Mailing Address - Phone:716-662-2040
Mailing Address - Fax:716-662-0019
Practice Address - Street 1:58 W BUFFALO ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1258
Practice Address - Country:US
Practice Address - Phone:585-786-5551
Practice Address - Fax:585-786-5561
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY087881104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker