1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Social Worker
  6. NPI Profile

KRISTY BORMANN LCSW-R
NPI 1639540537
Social Worker - Clinical in Rochester, NY

Active since October 18, 2015Opted out of Medicare · through Aug 19, 2027
720 EAST AVE, ROCHESTER, NY 14607(347) 688-8494(347) 812-0032 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Oct 31, 2023, Apr 17, 2018 (3 updates tracked since 2018).

About Kristy Bormann Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTY BORMANN LCSW-R (NPI 1639540537) is an individual clinical provider in Rochester, New York, licensed in New York (086641) and active in the NPI registry since October 2015. She has opted out of Medicare through August 19, 2027.

NPPES Registry Identity

NPI1639540537
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTY BORMANNCredential: LCSW-R
Location Address720 EAST AVERochester, NY 14607-2192
Mailing Address1601 Penfield Rd # 575-1079Rochester, NY 14625-2322 · (347) 688-8494 · Fax (585) 625-0135
Phone(347) 688-8494
Fax(347) 812-0032
Sole ProprietorYes
Enumeration DateOctober 18, 2015
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1639540537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 086641
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 091038 (NY)
720 EAST AVE, Rochester, NY 14607
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristy Bormann Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 19, 2025 through August 19, 2027.

Opt-Out Effective DateAugust 19, 2025
Opt-Out In Effect ThroughAugust 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA A SLYNGSTAD OT
Occupational Therapist
720 EAST AVE, SUITE 100
ROCHESTER, NY 14607
Monroe County (585) 263-2850
EILEEN A. LORSON LMT
Massage Therapist
720 EAST AVE, SUITE 102
ROCHESTER, NY 14607
Monroe County (585) 442-1580
CAROL ANN DEINHARDT LMT
Massage Therapist
720 EAST AVE, SUITE 102
ROCHESTER, NY 14607
Monroe County (585) 442-1580
MR. NICHOLAS P. NANNA OTR L
Occupational Therapist
720 EAST AVE, SUITE 100
ROCHESTER, NY 14607
Monroe County (585) 263-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristy Bormann's NPI number?

The NPI number for Kristy Bormann is 1639540537. It was assigned to this individual provider in the NPPES registry on October 18, 2015.

Where is Kristy Bormann located?

Kristy Bormann practices at 720 East Ave, Rochester, NY 14607. The listed phone number is (347) 688-8494.

What is Kristy Bormann's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristy Bormann enrolled in Medicare?

No. Kristy Bormann has opted out of Medicare through August 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristy Bormann was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.