Provider Demographics
NPI:1841071321
Name:KIGORE, DONALD E IV (LMSW)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:E
Last Name:KIGORE
Suffix:IV
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:KEDIN
Other - Middle Name:
Other - Last Name:KILGORE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:6805 OWLS HEAD CT APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-5035
Mailing Address - Country:US
Mailing Address - Phone:646-465-3151
Mailing Address - Fax:
Practice Address - Street 1:348 13TH ST STE 203
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6179
Practice Address - Country:US
Practice Address - Phone:646-465-3151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical