National Provider Identifier
Kim Saiazar Bautista, LCSW
Kim Saiazar Bautista, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Lyons, NY and a listed phone number of (315) 946-5722.
Profile Overview
- NPI
- 1447375217
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 20, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1519 Nye Road
- Wayne Behavioral Health Network
- Lyons, NY 14489
Phone: (315) 946-5722
Mailing Address
- 7 Wallingford Rise
- Fairport, NY 14450
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1447375217
- Entity Type
- Individual
- Last Name
- Bautista
- First Name
- Kim
- Middle Name
- Saiazar
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Saiazar
- Provider Other First Name
- Kim
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 7 Wallingford Rise
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450
- Mailing Country
- US
- Mailing Phone
- (315) 946-5722
- Practice Street Address
- 1519 Nye Road
- Practice Address Line 2
- Wayne Behavioral Health Network
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489
- Practice Country
- US
- Practice Phone
- (315) 946-5722
- Practice Fax
- (315) 946-7066
- Enumeration Date
- March 20, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)