Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kim Russell Gearhart, LCSW-R

Individual provider Mental Health Counselor · NPI 1801989140

Mr. Kim Russell Gearhart, LCSW-R is a Mental Health Counselor in Clinton, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

7325 State Route 5
Clinton, NY 13323-3435
Phone: (315) 859-1973
Fax: (315) 859-1979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R042229-1 (NY)

Record details

NPI number1801989140
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedOctober 1, 2006
Last updated in NPPESJuly 8, 2007

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