National Provider Identifier

Katherine Anne Blakely, LMSW

Katherine Anne Blakely, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 368-6700.

NPI 1063047686Rochester, NYSocial Worker

Profile Overview

NPI
1063047686
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
March 04, 2020
Last Updated
March 04, 2020

Practice Location

  • 100 Pinewild Drive
  • Second Floor Suite A
  • Rochester, NY 14606

Phone: (585) 368-6700

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1063047686
Entity Type
Individual
Last Name
Blakely
First Name
Katherine
Middle Name
Anne
Credential
LMSW
Provider Other Last Name
Blakely
Provider Other First Name
Katie
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
5
Mailing Street Address
100 Pinewild Drive
Mailing Address Line 2
Second Floor Suite A
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606
Mailing Country
US
Practice Street Address
100 Pinewild Drive
Practice Address Line 2
Second Floor Suite A
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606
Practice Country
US
Practice Phone
(585) 368-6700
Enumeration Date
March 04, 2020
Last Updated
March 04, 2020
Sex
Female
Sole Proprietor
No
Certification Date
March 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)