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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY H FORTIN, LCSW-R

Active Sole Proprietor

KIMBERLY H FORTIN, LCSW-R is a Clinical Social Worker healthcare provider located in PORT BYRON, New York. NPI 1215046123 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORT BYRON, NY

Registration Details

NPI Number
1215046123
Provider Type
Individual
Gender
Female
NPI Issued
Aug 30, 2006 (19.773051430002 yrs)
Last Updated
Jan 8, 2026
License
076593 (NY)
Sole Proprietor
Yes

Practice Information

Address
2211 STATE ROUTE 31
PORT BYRON, NY, 131409420
Browse NY providers · Browse ZIP 13140
Phone
3158342014
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.