Provider Demographics
NPI:1962050872
Name:JORDAN, KALI ANN (LCSW)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:ANN
Last Name:JORDAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:ANN
Other - Last Name:RIZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:EAST AURORA UNION FREE SCHOOL DISTRICT,
Mailing Address - Street 2:430 MAIN STREET
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052
Mailing Address - Country:US
Mailing Address - Phone:716-687-2358
Mailing Address - Fax:716-687-2350
Practice Address - Street 1:GATEWAY LONGVIEW -KALI RIZZO
Practice Address - Street 2:10 SYMPHONY CIRCLE
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-783-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker