Provider Demographics
NPI:1912899055
Name:QUICK, KALEIGH JOY
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:JOY
Last Name:QUICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SENECA AVE APT 3F
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-4823
Mailing Address - Country:US
Mailing Address - Phone:828-335-9983
Mailing Address - Fax:
Practice Address - Street 1:3445 WINTON PL STE 114
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2950
Practice Address - Country:US
Practice Address - Phone:917-397-0316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
126238104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker