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.
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)
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)