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

Mr. Mathew David Kilgore, LCSW

Individual provider Clinical Social Worker · NPI 1265716591

Mr. Mathew David Kilgore, LCSW is a Clinical Social Worker in Fairport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
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

33 Sugarmills Cir
Fairport, NY 14450-8761
Phone: (585) 694-0075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence R-0441631 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence R-0441631 (NY)

Record details

NPI number1265716591
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011

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