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.

NPI 1831203025Canandaigua, NYClinical Social Worker

Source: public NPPES record, last updated July 09, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

The NPPES record for Kathryn A Debruin, LCSW-R lists Clinical Social Worker as the primary taxonomy and Canandaigua, NY as the practice location.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

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
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
103283EU (NY, Preferred Care), 07300045121 (NY), EM (NY, Excellus), 3109089 (NY, Value Options)