KATHRYN A DEBRUIN LCSW-R
NPI 1831203025
Social Worker - Clinical in Canandaigua, NY

Active since August 18, 2006
3019 COUNTY COMPLEX DR, CANANDAIGUA, NY 14424(585) 396-4363(585) 396-4993 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathryn A Debruin Lcsw-r NPPES

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

KATHRYN A DEBRUIN LCSW-R (NPI 1831203025) is an individual clinical provider in Canandaigua, New York, licensed in New York (045121) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1831203025
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN A DEBRUINCredential: LCSW-R
Location Address3019 COUNTY COMPLEX DRCanandaigua, NY 14424-9505
Mailing Address132 E Main StVictor, NY 14564-1304 · (585) 742-3804
Fax(585) 396-4993
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1831203025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 045121
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.

3019 COUNTY COMPLEX DR, Canandaigua, NY 14424

Other Names 1

Former Name (1)Kathryn Pendergast

Other Identifiers 5

Other3109089NY · Value Options
OtherEMNY · Excellus
Medicare ID-Type UnspecifiedRA9613NY · Upstate Medicare
Other103283EUNY · Preferred Care
Medicaid07300045121NY

Other Providers at the Same Location NPPES 20

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

Home Health
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Social Worker (Clinical)
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Social Worker (Clinical)
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Social Worker (Clinical)
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Social Worker
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Social Worker (Clinical)
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Psychologist
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424
Social Worker (Clinical)
3019 COUNTY COMPLEX DR
CANANDAIGUA, NY 14424

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 Kathryn Debruin's NPI number?

The NPI number for Kathryn Debruin is 1831203025. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Kathryn Debruin located?

Kathryn Debruin practices at 3019 County Complex Dr, Canandaigua, NY 14424. The listed phone number is (585) 396-4363.

What is Kathryn Debruin's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Debruin was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.