Healthcare Provider Details

I. General information

NPI: 1114847084
Provider Name (Legal Business Name): GABRIELLA HOPE KIRSH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89B RIVER RD
NORTH TONAWANDA NY
14120-5713
US

IV. Provider business mailing address

235 OAKWOOD DR
WILLIAMSVILLE NY
14221-7049
US

V. Phone/Fax

Practice location:
  • Phone: 716-693-9961
  • Fax: 716-693-4402
Mailing address:
  • Phone: 716-327-3271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132172
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: