Provider Demographics
NPI:1629033600
Name:SINCLAIRE, KATHERINE NORWOOD (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:NORWOOD
Last Name:SINCLAIRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SADDLE RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-9584
Mailing Address - Country:US
Mailing Address - Phone:585-421-0596
Mailing Address - Fax:
Practice Address - Street 1:2041 S CLINTON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5704
Practice Address - Country:US
Practice Address - Phone:585-256-1290
Practice Address - Fax:585-256-7321
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0254071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical