Active NPI
Trisha Kilbourn, LCSW
- Clinical Social Worker
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09290801
- Practice address
- 2613 W Henrietta Rd
Rochester, NY 14623-2327 - Phone
- (585) 276-9270
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | ||
| Social Worker | 104100000X | 0854691 | NY | |
| School Social Worker | 1041S0200X | 733162131 | NY | |
| Clinical Social Worker | 1041C0700X | 09290801 | NY | Primary |
Addresses
Primary practice location
2613 W Henrietta Rd
Rochester, NY 14623-2327
Mailing address
2613 W Henrietta Rd Ste E
Rochester, NY 14623-2327
Other practice location 1
1860 South Ave
Rochester, NY 14620-4229
Phone (585) 279-7800
Other practice location 2
4000 E Henrietta Rd
Henrietta, NY 14467-9704
Phone (585) 359-5000
Other practice location 3
639 Erie Station Rd
West Henrietta, NY 14586-9750
Phone (585) 359-5300
Other practice location 4
116 Ayer St
Rochester, NY 14615-2630
Phone (585) 362-1672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0854691 | NY | MD | Social Worker |
| 09290801 | NY | MD | Clinical Social Worker |
| 733162131 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester Department of Psychiatry Clinical Group | Social Worker | Current | Accepting new patients |
| University of Rochester | Single Specialty | Past | Accepting new patients |
Locations
1860 South Ave
Rochester, NY 14620
Phone (585) 273-1776
2613 W Henrietta Rd
Rochester, NY 14623
Phone (585) 279-4900
2613 W Henrietta Rd
Ste E
Rochester, NY 14623
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Rochester, NY
- NPI 1326088808
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1679098958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 W HENRIETTA RD STE E",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2613 W HENRIETTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232327",
"telephone_number": "585-276-9270"
}
],
"practiceLocations": [
{
"address_1": "1860 South Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146204229",
"country_code": "US",
"telephone_number": "585-279-7800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 E Henrietta Rd",
"address_purpose": "LOCATION",
"city": "Henrietta",
"state": "NY",
"postal_code": "144679704",
"country_code": "US",
"telephone_number": "585-359-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "639 Erie Station Rd",
"address_purpose": "LOCATION",
"city": "West Henrietta",
"state": "NY",
"postal_code": "145869750",
"country_code": "US",
"telephone_number": "585-359-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 Ayer St",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146152630",
"country_code": "US",
"telephone_number": "585-362-1672",
"fax_number": "585-362-1672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILBOURN",
"first_name": "TRISHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-08",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0854691",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "NY",
"license": "733162131",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "09290801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.