Healthcare Provider Details

I. General information

NPI: 1649190992
Provider Name (Legal Business Name): KASHAWN DENISE LITTLEJOHN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 PORTLAND AVE STE 1
ROCHESTER NY
14621-2727
US

IV. Provider business mailing address

319 AMHERST ST
BRUNSWICK GA
31520-8671
US

V. Phone/Fax

Practice location:
  • Phone: 585-380-6000
  • Fax:
Mailing address:
  • Phone: 585-380-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: