Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Donovan Kucmierowski, LCSW

Individual provider Clinical Social Worker · NPI 1568027357

Kyle Donovan Kucmierowski, LCSW is a Clinical Social Worker in Horseheads, New York. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

301 W Broad St
Horseheads, NY 14845-2303
Phone: (607) 654-0790
Fax: (631) 350-0396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 W Water St, Elmira, NY 14905-2562 — (607) 734-0980

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 103535-1 (NY)

Record details

NPI number1568027357
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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