National Provider Identifier

Kimberly Lillie, LCSW

Kimberly Lillie, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 865-1550.

NPI 1013578087Rochester, NYClinical Social Worker

Profile Overview

NPI
1013578087
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 21, 2019
Last Updated
June 21, 2019

Practice Location

  • 3300 Dewey Ave
  • Rochester, NY 14616-3741

Phone: (585) 865-1550

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1013578087
Entity Type
Individual
Last Name
Lillie
First Name
Kimberly
Credential
LCSW
Provider Other Last Name
Knapp
Provider Other First Name
Kimberly
Provider Other Credential Text
LCSW
Provider Other Last Name Type Code
1
Mailing Street Address
3300 Dewey Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-3741
Mailing Country
US
Practice Street Address
3300 Dewey Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-3741
Practice Country
US
Practice Phone
(585) 865-1550
Enumeration Date
June 21, 2019
Last Updated
June 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)