National Provider Identifier

Kimberly Lee Blackshear, MSW, LCSW

Kimberly Lee Blackshear, MSW, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Pittsford, NY and a listed phone number of (919) 816-5263.

NPI 1366397648Pittsford, NYClinical Social Worker

Profile Overview

NPI
1366397648
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 02, 2026
Last Updated
March 02, 2026

Practice Location

  • 64 Crestview Dr
  • Pittsford, NY 14534-2241

Phone: (919) 816-5263

Specialties

  • Clinical Social Worker (1041C0700X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1366397648
Entity Type
Individual
Last Name
Blackshear
First Name
Kimberly
Middle Name
Lee
Credential
MSW, LCSW
Mailing Street Address
64 Crestview Dr
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-2241
Mailing Country
US
Mailing Phone
(919) 816-5263
Practice Street Address
64 Crestview Dr
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534-2241
Practice Country
US
Practice Phone
(919) 816-5263
Enumeration Date
March 02, 2026
Last Updated
March 02, 2026
Sex
Female
Sole Proprietor
No
Certification Date
March 02, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)