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.

NPI 1902046477Canandaigua, NYClinical Social Worker

Source: public NPPES record, last updated December 31, 2013. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

The NPPES record for Ken A Tripp, LMSW, CASAC lists Clinical Social Worker as the primary taxonomy and Canandaigua, NY as the practice location.

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
Taxonomies
Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X)