Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Lee Blackshear, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1366397648

Kimberly Lee Blackshear, MSW, LCSW is a Clinical Social Worker in Pittsford, New York. Licensed in North Carolina and New York. Registered with an NPI since 2026.

Licensed in
NC, NY
In the registry since
2026
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

64 Crestview Dr
Pittsford, NY 14534-2241
Phone: (919) 816-5263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 098453 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence C016725 (NC)

Record details

NPI number1366397648
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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