National Provider Identifier

Kerry Bauer, LCSW

Kerry Bauer, 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) 922-2735.

NPI 1124466651Rochester, NYClinical Social Worker

Profile Overview

NPI
1124466651
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 06, 2013
Last Updated
April 06, 2017

Practice Location

  • 490 E Ridge RD
  • Rochester, NY 14621-1229

Phone: (585) 922-2735

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1124466651
Entity Type
Individual
Last Name
Bauer
First Name
Kerry
Credential
LCSW
Mailing Street Address
490 E Ridge RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-1229
Mailing Country
US
Mailing Phone
(585) 922-2735
Practice Street Address
490 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-1229
Practice Country
US
Practice Phone
(585) 922-2735
Enumeration Date
June 06, 2013
Last Updated
April 06, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)