Individual provider · Type 1 NPI

Kimberly Lee Blackshear, MSW, LCSW

Clinical Social Worker · Pittsford, NY

NPI number 1366397648 Active

Practice location

64 Crestview Dr
Pittsford, NY 14534-2241

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC016725 (NC)
Clinical Social Worker Primary 1041C0700X098453 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1366397648

Kimberly Lee Blackshear, MSW, LCSW's National Provider Identifier is 1366397648, issued on Mar 2, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pittsford, NY. The record was last updated on Mar 2, 2026.