MEDICARE: MR. DONALD E KIGORE IV LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	120990-1	NY

General Provider Information

NPI Number	:	1841071321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD E KIGORE IV LMSW

Provider Business Mailing Address
First Line	:	420 42ND ST APT 4B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-3659
Country	:	US
Telephone Number	:	646-465-3151
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 42ND ST APT 4B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-3659
Country	:	US
Telephone Number	:	646-465-3151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	12/16/2025

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