National Provider Identifier
Kathleen Lisborg
Kathleen Lisborg is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 831-2700.
Source: public NPPES record, last updated December 30, 2015. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1821453184
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 30, 2015
- Last Updated
- December 30, 2015
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 831-2700
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Kathleen M. Lisborg is a New York-licensed clinical social worker. The state’s official verification record lists her LCSW credential as active and links it to prior licensed master social work licensure, with clinical social work licensure issued in 2020.
Full Record
- NPI
- 1821453184
- Entity Type
- Individual
- Last Name
- Lisborg
- First Name
- Kathleen
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 831-2700
- Enumeration Date
- December 30, 2015
- Last Updated
- December 30, 2015
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Mental Health Counselor (101YM0800X)