Provider Demographics
NPI:1710113436
Name:KIJOWSKI, CHRISTOPHER EDWARD (LCSW-R)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:EDWARD
Last Name:KIJOWSKI
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 SWEENEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-5822
Mailing Address - Country:US
Mailing Address - Phone:716-213-3938
Mailing Address - Fax:716-794-1700
Practice Address - Street 1:84 SWEENEY STREET
Practice Address - Street 2:SITE 5C
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-5822
Practice Address - Country:US
Practice Address - Phone:716-213-3938
Practice Address - Fax:716-794-1700
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0744331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical