MEDICARE: MS. CARISSA CATHERINE USCHOLD-KLEPFER LCSW-R

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	071112	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700816741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CARISSA CATHERINE USCHOLD-KLEPFER LCSW-R

Provider Business Mailing Address
First Line	:	4140 SHERIDAN DR STE 7
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14221-4341
Country	:	US
Telephone Number	:	716-621-6052
Fax Number	:	716-295-6301

Provider Business Practice Location Address
First Line	:	4140 SHERIDAN DR STE 7
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14221-4341
Country	:	US
Telephone Number	:	716-621-6052
Fax Number	:	716-295-6301

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

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	11/20/2024

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