National Provider Identifier

Kristy Bormann, LCSW-R

Kristy Bormann, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (347) 688-8494.

NPI 1639540537Rochester, NYClinical Social Worker

Source: public NPPES record, last updated April 01, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1639540537
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 18, 2015
Last Updated
April 01, 2025

Practice Location

  • 720 East Ave
  • Rochester, NY 14607-2192

Phone: (347) 688-8494

Mailing Address

  • 1601 Penfield RD # 575-1079
  • Rochester, NY 14625-2322

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)

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Full Record
NPI
1639540537
Entity Type
Individual
Last Name
Bormann
First Name
Kristy
Credential
LCSW-R
Mailing Street Address
1601 Penfield RD # 575-1079
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2322
Mailing Country
US
Mailing Phone
(347) 688-8494
Mailing Fax
(585) 625-0135
Practice Street Address
720 East Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-2192
Practice Country
US
Practice Phone
(347) 688-8494
Practice Fax
(347) 812-0032
Enumeration Date
October 18, 2015
Last Updated
April 01, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
April 01, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)