Provider Demographics
NPI:1417271412
Name:BAINS, DENISE MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MARIE
Last Name:BAINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:MARIE
Other - Last Name:BAINS-TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:ROCHESTER PSYCHIATRIC CENTER ONTRACKNY
Mailing Address - Street 2:1111 ELMWOOD AVENUE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620
Mailing Address - Country:US
Mailing Address - Phone:585-623-0198
Mailing Address - Fax:585-241-1300
Practice Address - Street 1:1111 ELMWOOD AVE
Practice Address - Street 2:BLDG. 16
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3005
Practice Address - Country:US
Practice Address - Phone:585-241-1200
Practice Address - Fax:585-241-1273
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072579-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical