MEDICARE: TAMMY KLING 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
1	1041C0700X	Clinical Social Worker	093461	NY

General Provider Information

NPI Number	:	1407028038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY KLING LCSW

Provider Business Mailing Address
First Line	:	6465 TRANSIT RD STE 20
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-1414
Country	:	US
Telephone Number	:	716-514-6695
Fax Number	:

Provider Business Practice Location Address
First Line	:	6465 TRANSIT RD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2232
Country	:	US
Telephone Number	:	716-514-6695
Fax Number	:

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

Provider Enumeration Date	:	03/24/2008
Last Update Date	:	07/27/2023

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