Kimberly Lee Blackshear, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Pittsford, NY
NPI 1366397648 · NPPES record last updated Mar 2, 2026
Key facts
- NPI
- 1366397648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 098453 (NY)
- Practice address
- 64 Crestview Dr
Pittsford, NY 14534-2241 - Phone
- (919) 816-5263
- NPI assigned
- Mar 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098453 | NY | MD | Social Worker |
| C016725 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C016725 | NC | |
| Clinical Social Worker | 1041C0700X | 098453 | NY | Yes |
Addresses
Primary practice location
64 Crestview Dr
Pittsford, NY 14534-2241
Mailing address
64 Crestview Dr
Pittsford, NY 14534-2241
Phone (919) 816-5263
Other providers in Pittsford, NY
- Bernard J. Plansky MD PC
- Edith Hecht Bernstein
- Tanya Bhayana
- Rebecca Jean Bielawski
- Jonathan Thomas Blackman
- Alan F. Bloom
- Helena Nadine Boersma
- Sheridan Booth
- Sharon B Borrell
- Sarah Bracker
All providers in Pittsford, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.