National Provider Identifier
Kathryn A Debruin, LCSW-R
Kathryn A Debruin, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 396-4363.
Profile Overview
- NPI
- 1831203025
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 18, 2006
- Last Updated
- July 09, 2007
Practice Location
- 3019 County Complex Dr
- Canandaigua, NY 14424-9505
Phone: (585) 396-4363
Mailing Address
- 132 E Main St
- Victor, NY 14564-1304
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1831203025
- Entity Type
- Individual
- Last Name
- Debruin
- First Name
- Kathryn
- Middle Name
- A
- Credential
- LCSW-R
- Provider Other Last Name
- Pendergast
- Provider Other First Name
- Kathryn
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 132 E Main St
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-1304
- Mailing Country
- US
- Mailing Phone
- (585) 742-3804
- Practice Street Address
- 3019 County Complex Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9505
- Practice Country
- US
- Practice Phone
- (585) 396-4363
- Practice Fax
- (585) 396-4993
- Enumeration Date
- August 18, 2006
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 103283EU (NY, Preferred Care), 07300045121 (NY), EM (NY, Excellus), 3109089 (NY, Value Options)