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NPI Code Detail

MEDICARE: MRS. KATHLEEN GRABAR-KREMBLAS LCSW

MEDICARE: MRS. KATHLEEN GRABAR-KREMBLAS LCSW
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
1101YM0800XMental Health Counselor109164NY
21041C0700XClinical Social Worker100475NY

General Provider Information

NPI Number : 1891407722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHLEEN GRABAR-KREMBLAS LCSW
Provider Business Mailing Address
First Line : 51 DENNIS LN
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14227-1301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 89B RIVER RD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-5713
Country : US
Telephone Number : 716-693-9961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2022
Last Update Date : 08/25/2025

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