National Provider Identifier

Carol H Clendenin, LCSW-R

Carol H Clendenin, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penn Yan, NY and a listed phone number of (315) 536-2752.

NPI 1346583358Penn Yan, NYClinical Social Worker

Profile Overview

NPI
1346583358
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 28, 2013
Last Updated
March 28, 2013

Practice Location

  • 112 Kimball Ave
  • Penn Yan, NY 14527-1816

Phone: (315) 536-2752

Mailing Address

  • 14 Maiden Ln
  • Penn Yan, NY 14527-1208

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1346583358
Entity Type
Individual
Last Name
Clendenin
First Name
Carol
Middle Name
H
Credential
LCSW-R
Mailing Street Address
14 Maiden Ln
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-1208
Mailing Country
US
Mailing Phone
(315) 531-9103
Mailing Fax
(315) 521-9103
Practice Street Address
112 Kimball Ave
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1816
Practice Country
US
Practice Phone
(315) 536-2752
Practice Fax
(315) 536-4005
Enumeration Date
March 28, 2013
Last Updated
March 28, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)