National Provider Identifier

Kathleen P. Blair, MSW LCSW

Kathleen P. Blair, MSW LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Spencerport, NY and a listed phone number of (585) 755-6205.

NPI 1164570305Spencerport, NYClinical Social Worker

Profile Overview

NPI
1164570305
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 06, 2007
Last Updated
July 09, 2007

Practice Location

  • 85 S Union St
  • Suite 206
  • Spencerport, NY 14559-1255

Phone: (585) 755-6205

Mailing Address

  • 4850 Ridge RD W
  • Spencerport, NY 14559-1509

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1164570305
Entity Type
Individual
Last Name
Blair
First Name
Kathleen
Middle Name
P.
Credential
MSW LCSW
Mailing Street Address
4850 Ridge RD W
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1509
Mailing Country
US
Mailing Phone
(585) 352-0294
Practice Street Address
85 S Union St
Practice Address Line 2
Suite 206
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1255
Practice Country
US
Practice Phone
(585) 755-6205
Enumeration Date
January 06, 2007
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
01708341 (NY)