Kathleen P. Blair, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073504-1 Issued in NY

Practice address

85 S Union St
Suite 206
Spencerport, NY 14559-1255

Phone

(585) 755-6205

NPI assigned

Jan 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164570305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 RIDGE RD W",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591509",
            "telephone_number": "585-352-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S UNION ST",
            "address_2": "SUITE 206",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591255",
            "telephone_number": "585-755-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "KATHLEEN",
        "middle_name": "P.",
        "credential": "MSW  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073504-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01708341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Baxter, M.ED. LMHC
• William G Baxter, M.ED. LMHC
• Shirita A Beard, NP
• John E Bearer, PT
• Lotus J Besemer, LPN
• Boces2
• Greta Renee Bohn, M.S., CCC/SLP
• Brianna R Borrelli, M.A.
• Mary Jane Bouley, PT
• Nona L Bouwes, CCC-SLP

• Clinical Social Worker in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.