National Provider Identifier
Ken A Tripp, LMSW, CASAC
Ken A Tripp, LMSW, CASAC is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 396-4190.
Profile Overview
- NPI
- 1902046477
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- February 24, 2009
- Last Updated
- December 31, 2013
Practice Location
- 3019 County Complex Dr
- Canandaigua, NY 14424-9505
Phone: (585) 396-4190
Specialties
- Clinical Social Worker (1041C0700X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1902046477
- Entity Type
- Individual
- Last Name
- Tripp
- First Name
- Ken
- Middle Name
- A
- Name Prefix
- Mr.
- Credential
- LMSW, CASAC
- Mailing Street Address
- 3019 County Complex Dr
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9505
- Mailing Country
- US
- Mailing Phone
- (585) 396-4190
- Practice Street Address
- 3019 County Complex Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9505
- Practice Country
- US
- Practice Phone
- (585) 396-4190
- Enumeration Date
- February 24, 2009
- Last Updated
- December 31, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X)