Provider Demographics
NPI:1134359375
Name:KINNS, DEBORA MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:DEBORA
Middle Name:MARIE
Last Name:KINNS
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 1:2809 LOWER GREGG RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-7427
Mailing Address - Country:US
Mailing Address - Phone:518-522-0208
Mailing Address - Fax:
Practice Address - Street 1:1362 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3017
Practice Address - Country:US
Practice Address - Phone:518-374-0295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0319261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical